WO1995016691A1 - Rapamycin derivatives useful as immunosuppressants - Google Patents

Rapamycin derivatives useful as immunosuppressants Download PDF

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Publication number
WO1995016691A1
WO1995016691A1 PCT/EP1994/004191 EP9404191W WO9516691A1 WO 1995016691 A1 WO1995016691 A1 WO 1995016691A1 EP 9404191 W EP9404191 W EP 9404191W WO 9516691 A1 WO9516691 A1 WO 9516691A1
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WO
WIPO (PCT)
Prior art keywords
rapamycin
formula
demethoxy
compound
iii
Prior art date
Application number
PCT/EP1994/004191
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French (fr)
Inventor
Sylvain Cottens
Richard Sedrani
Original Assignee
Sandoz Ltd.
Sandoz-Patent-Gmbh
Sandoz-Erfindungen Verwaltungsgesellschaft M.B.H.
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Publication date
Priority claimed from GB939325802A external-priority patent/GB9325802D0/en
Priority claimed from GB939325800A external-priority patent/GB9325800D0/en
Priority claimed from GB9407138A external-priority patent/GB9407138D0/en
Priority claimed from GB9421982A external-priority patent/GB9421982D0/en
Priority to SI9430319T priority Critical patent/SI0734389T1/en
Priority to EP95903810A priority patent/EP0734389B1/en
Priority to DE69423781T priority patent/DE69423781T2/en
Priority to AU12739/95A priority patent/AU687491B2/en
Priority to JP51654495A priority patent/JP3745772B2/en
Priority to BR9408323A priority patent/BR9408323A/en
Application filed by Sandoz Ltd., Sandoz-Patent-Gmbh, Sandoz-Erfindungen Verwaltungsgesellschaft M.B.H. filed Critical Sandoz Ltd.
Priority to DK95903810T priority patent/DK0734389T3/en
Priority to SK781-96A priority patent/SK78196A3/en
Priority to CA002174731A priority patent/CA2174731C/en
Priority to US08/663,169 priority patent/US5912253A/en
Priority to AT95903810T priority patent/ATE191218T1/en
Priority to NZ277498A priority patent/NZ277498A/en
Publication of WO1995016691A1 publication Critical patent/WO1995016691A1/en
Priority to FI962487A priority patent/FI962487A0/en
Priority to NO962540A priority patent/NO962540L/en
Priority to GR20000401237T priority patent/GR3033545T3/en

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    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07DHETEROCYCLIC COMPOUNDS
    • C07D498/00Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms
    • C07D498/12Heterocyclic compounds containing in the condensed system at least one hetero ring having nitrogen and oxygen atoms as the only ring hetero atoms in which the condensed system contains three hetero rings
    • C07D498/18Bridged systems
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61PSPECIFIC THERAPEUTIC ACTIVITY OF CHEMICAL COMPOUNDS OR MEDICINAL PREPARATIONS
    • A61P37/00Drugs for immunological or allergic disorders
    • A61P37/02Immunomodulators
    • A61P37/06Immunosuppressants, e.g. drugs for graft rejection
    • CCHEMISTRY; METALLURGY
    • C07ORGANIC CHEMISTRY
    • C07FACYCLIC, CARBOCYCLIC OR HETEROCYCLIC COMPOUNDS CONTAINING ELEMENTS OTHER THAN CARBON, HYDROGEN, HALOGEN, OXYGEN, NITROGEN, SULFUR, SELENIUM OR TELLURIUM
    • C07F7/00Compounds containing elements of Groups 4 or 14 of the Periodic System
    • C07F7/02Silicon compounds
    • C07F7/08Compounds having one or more C—Si linkages
    • C07F7/18Compounds having one or more C—Si linkages as well as one or more C—O—Si linkages
    • C07F7/1804Compounds having Si-O-C linkages

Definitions

  • This invention comprises novel demethoxy derivatives of rapamycin, such derivatives having pharmaceutical utility, especially as immunosuppressants.
  • Rapamycin is a known macrolide antibiotic produced by Streptomvces hvgroscopicus. having the structure depicted in Formula A:
  • Rapamycin is an extremely potent immunosuppressant and has also been shown to have antitumor and antifungal activity.
  • rapamycin is highly insoluble, making it difficult to formulate stable galenic compositions. Numerous derivatives of rapamycin are known. Certain 16-O-substituted rapamycins are disclosed in WO 94/02136, the contents of which are incorporated herein by reference.
  • 40-O- substituted rapamycins are described in, e.g., in US 5 258 389 and PCT/EP 93/02604 (O-aryl and O-alkyl rapamycins); WO 92/05179 (carboxylic acid esters), US 5 1 18 677 (amide esters), US 5 1 18 678 (carbamates), US 5 100 883 (fluorinated esters), US 5 151 413 (acetals), and US 5 120 842 (silyl ethers), all of which are incorporated herein by reference.
  • 32-O-dihydro or substituted rapamycin are described, e.g., in US 5 256 790, incorporated herein by reference.
  • novel demethoxy derivatives of rapamycin have an improved pharmacological profile over rapamycin, exhibit greater stability and bioavailability, allow for greater ease in producing galenic formulations, and are more potent immunosuppressants.
  • the Novel Compounds comprise rapamycins wherein the methoxy group(s) at position 16 and/or position 39 of rapamycin is deleted and replaced with a selected substituent.
  • the Novel Compounds particularly include rapamycins (i) wherein the methoxy group at the 16 position is replaced with another substituent, preferably (optionally hydroxy-substituted) alkynyloxy, and or (ii) wherein the methoxy group at the 39 position is deleted together with the 39 carbon so that the cyclohexyl ring of rapamycin becomes a cyclopentyl ring lacking the 39 position methoxy group (i.e., 39-demethoxy-40-desoxy-39-substituted-42-nor-rapamycins, sometimes referred to herein simply as cyclopentyl rapamycins).
  • rapamycins i) wherein the methoxy group at the 16 position is replaced with another substituent, preferably (optionally hydroxy-substituted) alkynyloxy, and or (ii) wherein the methoxy group at the 39 position is deleted together with the 39 carbon so that the cyclohexyl ring
  • the remainder of the molecule is as for rapamycin or its immunosuppressive derivatives and analogues, e.g., as described above.
  • the molecule is further modified, e.g., such that the hydroxy at the 40- position of rapamycin is alkylated, and or the 32-carbonyl is reduced.
  • Novel Compounds are those having the structure of Formula I:
  • R is selected from alkyl, alkenyl, alkynyl, hydroxyalkenyl, hydroxyalkyl, hydroxyalkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, alkoxyarylalkyl, haloalkyl, haloaryl, haloarylalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxyalkyl, and alkylsilyl; preferably an unsaturated substituent; more preferably an aromatic or
  • R 2 is selected from formula II or formula III:
  • R 3 is selected from H, alkyl, alkenyl, alkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, hydroxyalkyl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxyalkyl, and alkylsilyl; preferably hydroxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl, alkoxyalkyl, and aminoalkyl; especially hydroxyethyl, hydroxypropyl, hydroxyethoxy
  • R 4 is H, methyl or together with R 3 forms C 2 . 6 alkylene;
  • R 5 is substituted or unsubstituted acyl (e.g., formyl, carboxy, amide or ester), oxymethyl, iminomethyl, or dioxymethylyne (e.g., -O-CH-O-); preferably (i) oxymethyl, for example, hydroxymethyl, e.g., generally R 6 O-CH , wherein R 6 is selected from H, alkyl, alkenyl, alkynyl, aryl, amino, acyl (e.g., alkylcarbonyl, arylcarbonyl, heteroarylcarbonyl, hydroxyalkylcarbonyl, aminoalkylcarbonyl, or formyl), thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, hydroxyalkyl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, acy
  • alk or “alkyl” refers to a Cj., 0 (preferably C U6 ) aliphatic substituent (branched, linear, or cyclic), optionally interrupted by an oxy (-O-) linkage; and "ar” or “aryl” refers to a monocyclic, optionally heterocyclic, optionally substituted, C 4 ., 4 aromatic substituent
  • R 2 is of formula II, then R, is other than methyl and (i) R 3 is selected from hydroxyalkyl, alkoxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl, and aminoalkyl; and/or (ii) X is other than O; and/or (iii) R, is (optionally hydroxy- substituted) alkynyl , preferably (optionally hydroxy-substituted) alk-2-ynyl, e.g. prop-2- ynyl, but-2-ynyl, pent-2-ynyl, or 4-hydroxy-but-2-ynyl; and further provided that when R, is methyl, R 2 is of Formula III.
  • Demethoxy rapamycins of Formula I also include
  • R is selected from (i) benzyl, orr ⁇ o-alkoxybenzyl, and chlorobenzyl (especially benzyl or ⁇ rt/i ⁇ -methoxybenzyl), or (ii) (optionally hydroxy-substituted) alkynyl , preferably (optionally hydroxy-substituted) alk- 2-ynyl, especially (i) prop-2-ynyl, but-2-ynyl, pent-2-ynyl, and 4-hydroxy-but-2-ynyl; R 2 is of formula II; R 3 is selected from H, hydroxyalkyl, alkoxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl, and aminoalkyl; R 4 is methyl; and X and Y are independently selected from O, (H,OH), and (H, C alkoxy); and most preferably, the 16-0 substituted rapamycins
  • R is selected from alkyl, alkyenyl, alkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, hydroxyalkyl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxy alkyl, and alkylsilyl (especially alkynyl), wherein "alk” refers to C 0 aliphatic substituent (branched, linear, or cyclic), optionally interrupted by
  • Y are as defined above; e.g., where R, is methyl, X and Y are O, and R 5 is substituted or unsubstituted acyl (e.g., formyl, carboxy, amide or ester), oxymethyl, iminomethyl, or dioxymethylyne (e.g., -O-CH-O-); e.g., (i) oxymethyl, e.g., R 6 O-CH 2 -, wherein R 6 is selected from H, alkyl, alkyenyl, alkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, hydroxyalkyl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonyla
  • Especially preferred compounds of Formula I include
  • the compounds are produced from rapamycin or a rapamycin derivative generally as follows:
  • the modification at the 16-0 can be produced either (i) by reaction of rapamycin or a rapamycin derivative with SeO 2 and a compound R r OH under suitable reaction conditions, e.g., at elevated temperatures, wherein R, is as defined above; or preferably (ii) by reaction of rapamycin or a rapamycin derivative with an acid, e.g., p- toluenesulphonic acid, and a nucleophile, e.g., R.-OH, at room temperature, in a suitable aprotic solvent, e.g., dichloromethane, acetonitrile, or THF.
  • suitable aprotic solvent e.g., dichloromethane, acetonitrile, or THF.
  • R 3 is an organic radical as defined above, e.g., an alkyl, allyl, or benzyl moiety, which is desired as the O-substituent, and Z is the leaving group, e.g., CCl 3 C(NH)O or CF 3 SO 3 ) under suitable reaction conditions, e.g., in the presence of an acid like trifluoromethanesulfonic acid, camphorsulfonic acid, p-toluenesulfonic acid or their respective pyridinium or substituted pyridinium salts when Z is CCl 3 C(NH)O or in the presence of a base like pyridine, a substituted pyridine, diisopropylethylamine or pent
  • a leaving group e.g., R 3 -Z where R 3 is an organic radical as defined above, e.g., an alkyl, allyl, or benzyl moiety, which is desired as the O-substituent
  • O- substitution or modification to make the other compounds of the invention is performed according to processes known to those skilled in the art, e.g., the following general processes: (i) for oxymethyl derivatives, the alcohol compound is reacted analogously as described above for 40-O-substitution; (ii) for acyl derivatives, the carboxylic acid compound is reacted with the desired amine or alcohol in the presence of an activating or coupling reagent, e.g., oxalylchloride or dicyclohexylcarbodiimide, to give the desired amide or ester compounds respectively; and (iii) for iminomethyl or dioxymethylyne compounds, the aldehyde compound is condensed with the desired amine or alkylenediol, respectively, under acidic conditions.
  • an activating or coupling reagent e.g., oxalylchloride or dicyclohexylcarbodiimide
  • the 32-O- dihydro compound (where X is (H,OH) is prepared by O-protecting the hydroxy groups, e.g., at positions 28 and 40 of rapamycin, e.g., using triethylsilyl ether protecting groups, reducing the protected compound, e.g., using L-selectride, and optionally deprotecting, e.g., under mildly acidic conditions, analogously to the method described in US 5 256 790 for preparation of 32-O-dihydro-rapamycin from rapamycin.
  • the 28,40-O,O-protected compound is alkylated, e.g., as described for 40-O alkylation above, acylated, or otherwise O-substituted, e.g., analogously to the procedures described in US 5 256 790.
  • the above processes may be carried out in any order, preferably using rapamycin as the ultimate starting material.
  • the starting materials and intermediates may be protected (e.g., O-protected as described in process 4) before carrying out the above reaction(s) and then deprotected to obtain the desired final product.
  • the Novel Compounds are particularly useful for the following conditions: a) Treatment and prevention of organ or tissue transplant rejection, e.g. for the treatment of recipients of e.g. heart, lung, combined heart-lung, liver, kidney, pancreatic, skin or corneal transplants; including treatment and prevention of acute rejection; treatment and prevention of hyperacute rejection, e.g., as associated with xenograft rejection; and treatment and prevention of chronic rejection, e.g., as associated with graft-vessel disease.
  • the Novel Compounds are also indicated for the treatment and prevention of graft-versus-host disease, such as following bone marrow transplantation.
  • autoimmune disease and of inflammatory conditions in particular inflammatory conditions with an etiology including an autoimmune component such as arthritis (for example rheumatoid arthritis, arthritis chronica progrediente and arthritis deformans) and rheumatic diseases.
  • an autoimmune component such as arthritis (for example rheumatoid arthritis, arthritis chronica progrediente and arthritis deformans) and rheumatic diseases.
  • Specific auto ⁇ immune diseases for which the compounds of the invention may be employed include, autoimmune hematological disorders (including e.g.
  • hemolytic anaemia aplastic anaemia, pure red cell anaemia and idiopathic thrombocytopenia
  • systemic lupus erythematosus polychondritis, sclerodoma, Wegener granulamatosis, dermatomyositis, chronic active hepatitis, myasthenia gravis, psoriasis, Steven-Johnson syndrome, idiopathic sprue, autoimmune inflammatory bowel disease (including e.g.
  • ulcerative colitis and Crohn's disease endocrine ophthalmopathy
  • Graves disease sarcoidosis, multiple sclerosis, primary billiary cirrhosis, juvenile diabetes (diabetes mellitus type I), uveitis (anterior and posterior), keratoconjunctivitis sicca and vernal keratoconjunctivitis, interstitial lung fibrosis, psoriatic arthritis, glomerulonephritis (with and without nephrotic syndrome, e.g. including idiopathic nephrotic syndrome or minimal change nephropathy) and juvenile dermatomyositis.
  • Treatment and prevention of asthma Treatment and prevention of asthma.
  • MDR multi-drug resistance
  • the Novel Compounds suppress P-glycoproteins (Pgp), which are the membrane transport molecules associated with MDR. MDR is particularly problematic in cancer patients and AIDS patients who will not respond to conventional chemotherapy because the medication is pumped out of the cells by Pgp.
  • the Novel Compounds are therefore useful for enhancing the efficacy of other chemotherapeutic agents in the treatment and control of multidrug resistant conditions such as multidrug resistant cancer or multidrug resistant AIDS.
  • e) Treatment of proliferative disorders, e.g. tumors, hyperproliferative skin disorder and the like.
  • the invention thus provides the Novel Compounds described herein, for use as novel intermediates or as pharmaceuticals, methods of treating or preventing the above- described disorders by administering an effective amount of a Novel Compound to a patient in need thereof, use of a Novel Compound in the manufacture of a medicament for treatment or prevention of the above-described disorders, and pharmaceutical compositions comprising a Novel Compound in combination or association with a pharmaceutically acceptable diluent or carrier.
  • the Novel Compounds are utilized by administration of a pharmaceutically effective dose in pharmaceutically acceptable form to a subject in need of treatment. Appropriate dosages of the Novel Compounds will of course vary, e.g. depending on the condition to be treated (for example the disease type or the nature of resistance), the effect desired and the mode of administration.
  • Suitable daily dosages for patients are thus on the order of 500 mg p.o., e.g. on the order of from 5 to 100 mg p.o., or on the order of from 0.5 to 125 up to 250 mg i.v., e.g. on the order of from 2.5 to 50 mg i.v..
  • dosaging is arranged in patient specific manner to provide pre-determined trough blood levels, e.g. as determined by RIA technique.
  • patient dosaging may be adjusted so as to achieve regular on-going trough blood levels as measured by RIA on the order of from 50 or 150 up to 500 or lOOOng/ml, i.e. analogously to methods of dosaging currently employed for Ciclosporin immunosuppressive therapy.
  • the Novel Compounds may be administered as the sole active ingredient or together with other drugs.
  • immunosuppressive applications such as prevention and treatment of graft vs. host disease, transplant rejection, or autoimmune disease
  • the Novel Compounds may be used in combination with cyclosporins or ascomycins, or their immunosuppressive analogs, e.g., cyclosporin A, cyclosporin G, FK- 506, etc.; corticosteroids; cyclophosphamide; azathioprene; methotrexate; brequinar; leflunomide; mizoribine; immunosuppressive monoclonal antibodies, e.g., monoclonal antibodies to leukocyte receptors, e.g., MHC, CD2, CD3, CD4, CD7, CD25, CD28, CTLA4, B7, CD45, or CD58 or their ligands; or other immunomodulatory compounds.
  • the combination is most preferably with IL-2 transcription inhibitors such as the immunosuppressive cyclosprins (e.g., cyclosporin A) and ascomycins (e.g., FK-506).
  • IL-2 transcription inhibitors such as the immunosuppressive cyclosprins (e.g., cyclosporin A) and ascomycins (e.g., FK-506).
  • the Novel Compounds can also be used together with anti-inflammatory agents, e.g., corticosteroids.
  • the Novel Compounds can be used in combination with other anti-infective agents, e.g., anti-viral drugs or antibiotics.
  • the Novel Compounds are administered by any conventional route, in particular enterally, e.g. orally, for example in the form of solutions for drinking, tablets or capsules or parenterally, for example in the form of injectable solutions or suspensions.
  • Suitable unit dosage forms for oral administration comprise, e.g. from 1 to 50 mg of a compound of the invention, usually 1 to 10 mg.
  • Pharmaceutical compositions comprising the novel compounds may be prepared analogously to pharmaceutical compositions comprising rapamycin, e.g., as described in EPA 0 041 795, which would be evident to one skilled in the art.
  • MLR Mixed lymphocyte reaction
  • the Mixed Lymphocyte Reaction was originally developed in connection with allografts, to assess the tissue compatibility between potential organ donors and recipients, and is one of the best established models of immune reaction in vitro.
  • a murine model MLR e.g., as described by T.Meo in "Immunological Methods", L. Lefkovits and B. Peris, Eds., Academic Press, N.Y. pp. 227-239 (1979), is used to demonstrate the immunosuppressive effect of the Novel Compounds.
  • Spleen cells 0.5 x 10 6
  • Balb/c mice female.
  • irradiated 2000 rads
  • mitomycin C treated spleen cells from CBA mice (female, 8-10 weeks).
  • the irradiated allogeneic cells induce a proliferative response in the Balb/c spleen cells which can be measured by labeled precursor incorporation into the DNA. Since the stimulator cells are irradiated (or mitomycin C treated) they do not respond to the Balb/c cells with proliferation but do retain their antigenicity.
  • the antiproliferative effect of the Novel Compounds on the Balb/c cells is measured at various dilutions and the concentration resulting in 50% inhibition of cell proliferation (IC 50 ) is calculated.
  • the alkynyl derivatives of the examples are particularly potent immunosuppressants, with an IC 50 in this assay relative to rapamycin of 0.3 - 0.8, i.e., up to 3x more active than rapamycin.
  • the capacity of the Novel Compounds to interfere with growth factor associated signalling pathways is assessed using an interleukin-6 (IL-6)-dependent mouse hybridoma cell line.
  • the assay is performed in 96-well microtiter plates. 5000 cells/well are cultivated in serum-free medium (as described by M. H. Schreier and R. Tees in Immunological Methods, I. Lefkovits and B. Pernis, eds., Academic Press 1981 , Vol. II, pp. 263-275), supplemented with 1 ng recombinant IL-6/ml.
  • Rapamycin and the structurally related immunosuppressant, FK-506, are both known to bind in vivo to macrophilin- 12 (also known as FK-506 binding protein or FKBP-12), and this binding is thought to be related to the immunosuppressive activity of these compounds.
  • the Novel Compounds also bind strongly to macrophilin- 12, as is demonstrated in a competitive binding assay. In this assay, FK-506 coupled to BSA is used to coat microtiter wells. Biotinylated recombinant human macrophilin- 12 (biot-MAP) is allowed to bind in the presence or absence of a test sample to the immobilized FK-506.
  • biot-MAP After washing (to remove non-specifically bound macrophilin), bound biot-MAP is assessed by incubation with a streptavidin-alkaline phosphatase conjugate, followed by washing and subsequent addition of p-nitrophenyl phosphate as a substrate. The read-out is the OD at 405nm. Binding of a test sample to biot-MAP results in a decrease in the amount of biot-MAP bound to the FK-506 and thus in a decrease in the OD405. A dilution series of the test sample allows determination of the concentration resulting in 50% inhibition of the biot-MAP binding to the immobilized FK-506 (IC 50 ). The exemplified Novel Compounds all exhibit good binding to FKBP in this assay.
  • kidney from a female fisher 344 rat is transplanted onto the renal vessel of a unilaterally (left side) nephrectomized WF recipient rat using an end-to-end anastomosis. Ureteric anastomosis is also end-to-end. Treatment commences on the day of transplantation and is continued for 14 days. A contralateral nephrectomy is done seven days after transplantation, leaving the recipient relying on the performance of the donor kidney. Survival of the graft recipient is taken as the parameter for a functional graft.
  • EAE Experimentally Induced Allergic Encephalomyelitis
  • ED 50 is the oral dose in mg/kg which reduces the swelling (primary or secondary) to half of that of the controls.
  • the antitumor activity of the Novel Compounds and their ability to enhance the performance of antitumor agents by alleviating multidrug resistance is demonstrated, e.g., by administration of an anticancer agent, e.g., colchicine or etoposide, to multidrug resistant cells and drug sensitive cells in vitro or to animals having multidrug resistant or drug sensitive tumors or infections, with and without co-administration of the Novel Compounds to be tested, and by administration of the Novel Compound alone.
  • Such in vitro testing is performed employing any appropriate drug resistant cell line and control (parental) cell line, generated, e.g. as described by Ling et al., J. Cell. Physiol. 83 . .
  • Ehrlich ascites carcinoma (EA) sub-lines resistant to drug substance DR, VC, AM, ET, TE or CC are developed by sequential transfer of EA cells to subsequent generations of BALB/c host mice in accordance with the methods described by Slater et al., J. Clin. Invest, 70, 1 131 (1982).
  • Equivalent results may be obtained employing the Novel Compounds test models of comparable design, e.g. in vitro, or employing test animals infected with drug-resistant and drug sensitive viral strains, antibiotic (e.g. penicillin) resistant and sensitive bacterial strains, anti-mycotic resistant and sensitive fungal strains as well as drug resistant protozoal strains, e.g. Plasmodial strains, for example naturally occurring sub-strains of Plasmodium falciparum exhibiting acquired chemotherapeutic, anti-malarial drug resistance.
  • antibiotic e.g. penicillin
  • Plasmodial strains for example naturally occurring sub-strains of Plasmodium
  • the macrophilin binding activity of the Novel Compounds also makes them useful in enhancing or potentiating the action of corticosteroids.
  • This can be shown, e.g., in the murine mammary tumor virus-chloramphenicol acetyltransferase (MMTV-CAT) reporter gene assay, e.g., as described in Ning, et al., J. Biol. Chem. (1993) 268: 6073.
  • MMTV-CAT murine mammary tumor virus-chloramphenicol acetyltransferase
  • Mip and Mip-like factors are virulence factors produced by a wide variety of pathogens, including those of the genera Chlamidia. e.g., Chlamidia trachomatis: Neisseria. e.g., Neisseria meningitidis: and Legionella. e.g., Legionella pneumophilia * . and also by the obligately parasitic members of the order Rickettsiales. These factors play a critical role in the establishment of intracellular infection.
  • the efficacy of the Novel Compounds in reducing the infectivity of pathogens which produce Mip or Mip-like factors can be shown by comparing infectivity of the pathogens in cells culture in the presence and absence of the macrolides, e.g., using the methods described in Lundemose, et al., Mol. Microbiol. (1993) 7: 777.
  • the Novel Compounds are also useful in assays to detect the presence or amount of macrophilin-binding compounds, e.g., in competitive assays for diagnostic or screening purposes.
  • the invention provides for use of the Novel Compounds as a screening tool to determine the presence of macrophilin-binding compounds in a test solution, e.g., blood, blood serum, or test broth to be screened.
  • a Novel Compound is immobilized in microtiter wells and then allowed to bind in the presence and absence of a test solution to labelled macrophilin- 12 (FKBP- 12).
  • the FKBP-12 immobilized in microtiter wells and allowed to bind in the presence and absence of a test solution to a Novel Compound which has been labelled, e.g., fluoro-, enzymatically- or radio-labelled, e.g., a Novel Compound of Formula I wherein R j comprises a labelling group.
  • a Novel Compound of Formula I wherein R j comprises a labelling group.
  • the plates are washed and the amount of bound labelled compound is measured.
  • the amount of macrophilin-binding substance in the test solution is roughly inversely proportional to the amount of bound labelled compound.
  • a standard binding curve is made using known concentrations of macrophilin binding compound.
  • rapamycin 1 mmol rapamycin is dissolved in 50 ml methylene chloride containing 3 ml of benzyl alcohol. 0.1 mmol of p-toluenesulphonic acid is added, and the reaction mixture is then stirred at room temperature for 2-10 hours. The reaction mixture is then poured in a saturated solution of sodium bicarbonate. The organic layer is separated, dried over sodium sulphate, and the solvent evaporated. The crude product is then purified by HPLC to give the pure title compound as a white powder.
  • Example 8 16-demethoxy-40-O-(2-methoxyethyl)-16-(pent-2-ynyl)oxy -rapamycin
  • To a solution of 0.7 ml 2-pentyn-l -ol in 5 ml CH 2 C1 2 are added 486 mg of 40-O-(2-methoxyethyl)-rapamycin followed by 5 mg p-toluenesulfonic acid.
  • the mixture is stirred for 2 h at room temperature.
  • the reaction is quenched with 7 ml of a saturated aqueous solution of NaHCO 3 .
  • the aqueous phase is separated and extracted 2x with 10 ml ethyl acetate.
  • Example 12 39-demethoxy-40-desoxy-39-(4-methyl-piperazin-l -vDcarbonyl-42-nor-rapamvcin
  • Example 15 39-demethoxy-40-desoxy-39-(p-toluenesulfonylhvdrazonomethyl)-42-nor-rapamycin

Abstract

Novel demethoxy derivatives of rapamycin of formula (I) are found to have pharmaceutical utility, particularly as an immunosuppressants. In formula (I) R2 = formula (II) or formula (III), X, Y, R1, R3, R3, R4, R5 are as defined in the application.

Description

RAPAMYCIN DERIVATIVES USEFUL AS IMMUNOSUPPRESSANTS .
This invention comprises novel demethoxy derivatives of rapamycin, such derivatives having pharmaceutical utility, especially as immunosuppressants.
Rapamycin is a known macrolide antibiotic produced by Streptomvces hvgroscopicus. having the structure depicted in Formula A:
Figure imgf000003_0001
See, e.g., McAlpine, J.B., et al., J. Antibiotics (1991) 44: 688; Schreiber, S.L., et al., J. Am. Chem. Soc. (1991) 113: 7433; US Patent No. 3 929 992. (There have been various numbering schemes proposed for rapamycin. To avoid confusion, when specific rapamycin derivatives are named herein, the names are given with reference to rapamycin using the numbering scheme of formula A.) Rapamycin is an extremely potent immunosuppressant and has also been shown to have antitumor and antifungal activity. Its utility as a pharmaceutical, however, is restricted by its very low and variable bioavailability as well as its high toxicity. Moreover, rapamycin is highly insoluble, making it difficult to formulate stable galenic compositions. Numerous derivatives of rapamycin are known. Certain 16-O-substituted rapamycins are disclosed in WO 94/02136, the contents of which are incorporated herein by reference. 40-O- substituted rapamycins are described in, e.g., in US 5 258 389 and PCT/EP 93/02604 (O-aryl and O-alkyl rapamycins); WO 92/05179 (carboxylic acid esters), US 5 1 18 677 (amide esters), US 5 1 18 678 (carbamates), US 5 100 883 (fluorinated esters), US 5 151 413 (acetals), and US 5 120 842 (silyl ethers), all of which are incorporated herein by reference. 32-O-dihydro or substituted rapamycin are described, e.g., in US 5 256 790, incorporated herein by reference.
It has now surprisingly been discovered that certain novel demethoxy derivatives of rapamycin (the Novel Compounds) have an improved pharmacological profile over rapamycin, exhibit greater stability and bioavailability, allow for greater ease in producing galenic formulations, and are more potent immunosuppressants. The Novel Compounds comprise rapamycins wherein the methoxy group(s) at position 16 and/or position 39 of rapamycin is deleted and replaced with a selected substituent. Without intending to be bound to any particular theory, we have hypothesized that these particular methoxy groups on rapamycin are targets for metabolic attack and can be replaced with particular selected substituents, optionally in combination with certain further modifications to the molecule, so that activity is retained, or even in some cases, enhanced, and at the same time, susceptibility to metabolic attack is reduced.
The Novel Compounds particularly include rapamycins (i) wherein the methoxy group at the 16 position is replaced with another substituent, preferably (optionally hydroxy-substituted) alkynyloxy, and or (ii) wherein the methoxy group at the 39 position is deleted together with the 39 carbon so that the cyclohexyl ring of rapamycin becomes a cyclopentyl ring lacking the 39 position methoxy group (i.e., 39-demethoxy-40-desoxy-39-substituted-42-nor-rapamycins, sometimes referred to herein simply as cyclopentyl rapamycins). The remainder of the molecule is as for rapamycin or its immunosuppressive derivatives and analogues, e.g., as described above. Optionally, the molecule is further modified, e.g., such that the hydroxy at the 40- position of rapamycin is alkylated, and or the 32-carbonyl is reduced.
Preferably, the Novel Compounds are those having the structure of Formula I:
Figure imgf000005_0001
Formula I
wherein
R, is selected from alkyl, alkenyl, alkynyl, hydroxyalkenyl, hydroxyalkyl, hydroxyalkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, alkoxyarylalkyl, haloalkyl, haloaryl, haloarylalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxyalkyl, and alkylsilyl; preferably an unsaturated substituent; more preferably an aromatic or alkynyl substituent; more preferably alkynyl, hydroxyalkynyl, benzyl, alkoxybenzyl, or chlorobenzyl (wherein the substituted benzyl is ørt zø-substituted); most preferably alkynyl or hydroxyalkynyl;
R2 is selected from formula II or formula III:
Figure imgf000006_0001
Formula II Formula HI
wherein
R3 is selected from H, alkyl, alkenyl, alkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, hydroxyalkyl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxyalkyl, and alkylsilyl; preferably hydroxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl, alkoxyalkyl, and aminoalkyl; especially hydroxyethyl, hydroxypropyl, hydroxyethoxyethyl, methoxyethyl and acetylaminoethyl;
R4 is H, methyl or together with R3 forms C2.6 alkylene;
R5 is substituted or unsubstituted acyl (e.g., formyl, carboxy, amide or ester), oxymethyl, iminomethyl, or dioxymethylyne (e.g., -O-CH-O-); preferably (i) oxymethyl, for example, hydroxymethyl, e.g., generally R6O-CH , wherein R6 is selected from H, alkyl, alkenyl, alkynyl, aryl, amino, acyl (e.g., alkylcarbonyl, arylcarbonyl, heteroarylcarbonyl, hydroxyalkylcarbonyl, aminoalkylcarbonyl, or formyl), thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, hydroxyalkyl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxyalkyl, and alkylsilyl; (ii) acyl, for example, (4-methyl-piperazin-l -yl)-carbonyl, (mo holin-4-yl)-carbonyl, or N-methyl-N- (2-pyridin-2-yl-ethyl)-carbamoyl, e.g., generally R7CO-, wherein R7 is selected from H, alkyl, hydroxy, alkoxy, aryloxy, amido, alkamido, a residue of an amino acid, or N,N- disubstituted-amido wherein the substituents (a) are selected from alkyl, aryl, arylalkyl or alkylaryl or (b) form a heterocyclic structure (e.g., morpholino or piperazino); (iii) iminomethyl, for example, p-toluenesulfonylhydrazonomethyl, e.g., generally R8NCH-, wherein R8 is alkyl, aryl, amino, alkylamino, arylamino, or arylsulfonylamino; or (iv) dioxy substituted dioxymethylyne compounds, e.g., O,O-(alkylene)-dioxymethylyne (i.e., wherein the two oxygens are linked by an alkylene group); and X and Y are independently selected from O, (H, OH), and (H, OR9) wherein R9 is selected from alkyl (preferably C,.4 alkyl), acyl (e.g., alkylcarbonyl, arylcarbonyl, heteroarylcarbonyl, hydroxyalkylcarbonyl, aminoalkylcarbonyl, or formyl), or aryl ;
wherein "alk" or "alkyl" refers to a Cj.,0 (preferably CU6) aliphatic substituent (branched, linear, or cyclic), optionally interrupted by an oxy (-O-) linkage; and "ar" or "aryl" refers to a monocyclic, optionally heterocyclic, optionally substituted, C4.,4 aromatic substituent
(e.g., tolyl, phenyl, benzyl, pyridyl, and the like); provided that when R2 is of formula II, then R, is other than methyl and (i) R3 is selected from hydroxyalkyl, alkoxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl, and aminoalkyl; and/or (ii) X is other than O; and/or (iii) R, is (optionally hydroxy- substituted) alkynyl , preferably (optionally hydroxy-substituted) alk-2-ynyl, e.g. prop-2- ynyl, but-2-ynyl, pent-2-ynyl, or 4-hydroxy-but-2-ynyl; and further provided that when R, is methyl, R2 is of Formula III.
Demethoxy rapamycins of Formula I also include
(a) the 16-O substituted rapamycins wherein R, is selected from (i) benzyl, orrΛo-alkoxybenzyl, and chlorobenzyl (especially benzyl or ørt/iø-methoxybenzyl), or (ii) (optionally hydroxy-substituted) alkynyl , preferably (optionally hydroxy-substituted) alk- 2-ynyl, especially (i) prop-2-ynyl, but-2-ynyl, pent-2-ynyl, and 4-hydroxy-but-2-ynyl; R2 is of formula II; R3 is selected from H, hydroxyalkyl, alkoxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl, and aminoalkyl; R4 is methyl; and X and Y are independently selected from O, (H,OH), and (H, C alkoxy); and most preferably, the 16-0 substituted rapamycins wherein R, is alkynyl or hydroxyalkynyl, especially (optionally hydroxy substituted) C,_6 alk-2-ynyl; R2 is of formula II; R3 is selected from H, hydroxyalkyl, alkoxyalkyl, hydroxyalkoxyalkyl; R4 is methyl; and X and Y are O;
(b) the 16-O-substituted rapamycins wherein R, is selected from alkyl, alkyenyl, alkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, hydroxyalkyl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxy alkyl, and alkylsilyl (especially alkynyl), wherein "alk" refers to C 0 aliphatic substituent (branched, linear, or cyclic), optionally interrupted by an oxy (-O-) linkage, and aryl refers to a monocyclic aromatic substituent; provided that where R, is methyl, the compound is 16-epi-rapamycin; R2 is of formula II; R3 is H; R4 is methyl; and X and
Y are O; and
(c) the cyclopentyl rapamycins wherein R2 is of Formula III, and R,, R5, X, and
Y are as defined above; e.g., where R, is methyl, X and Y are O, and R5 is substituted or unsubstituted acyl (e.g., formyl, carboxy, amide or ester), oxymethyl, iminomethyl, or dioxymethylyne (e.g., -O-CH-O-); e.g., (i) oxymethyl, e.g., R6O-CH2-, wherein R6 is selected from H, alkyl, alkyenyl, alkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, hydroxyalkyl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxyalkyl, and alkylsilyl; (ii) acyl, e.g., R7CO- , wherein R7 is selected from H, alkyl, hydroxy, alkoxy, aryloxy, amido, alkamido, a residue of an amino acid, or N,N-substituted-amido wherein the substituent forms a heterocyclic structure (e.g., morpholino or piperazino); (iii) iminomethyl, e.g., alkyliminomethyl, aryliminomethyl, or hydrazonomethyl; or (iv) dioxy substituted dioxymethylyne compounds, e.g., O,O-(alkylene)-dioxymethylyne (i.e., wherein the two oxygens are linked by an alkylene group); wherein "alk-" refers to a C,_6 aliphatic group (linear, branched, or cyclic) preferably C,.3, in which the carbon chain may be optionally interrupted by an ether (-O-) linkage; and aryl refers to an aromatic group, preferably a monocyclic aromatic group.
Especially preferred compounds of Formula I include
1. 16-demethoxy-16-(pent-2-ynyl)oxy -rapamycin
2. 16-demethoxy-16-(but-2-ynyl)oxy -rapamycin
3. 16-demethoxy-16-(propargyl)oxy -rapamycin
4. 16-demethoxy - 16-(4-hy droxy -but-2-y ny l)oxy -rapamycin
5. 16-demethoxy-16-benzyloxy-40-O-(2-hydroxyethyl)-rapamycin
6. 16-demethoxy-l 6-benzyloxy -rapamycin
7. 16-demethoxy-l 6-σrt/zo-methoxybenzyl-rapamycin
8. 16-demethoxy-40-O-(2-methoxyethyl)-16-(pent-2-ynyl)oxy-rapamycin
9. 39-demethoxy-40-desoxy-39-formyl-42-nor-rapamycin
10. 39-demethoxy-40-desoxy-39-hydroxymethyl-42-nor-rapamycin
1 1. 39-demethoxy-40-desoxy-39-carboxy-42-nor-rapamycin
12. 39-demethoxy-40-desoxy-39-(4-methyl-piperazin- 1 -y l)carbonyl-42-nor-rapamycin
13. 39-demethoxy-40-desoxy-39-(moφholin-4-yl)carbonyl-42-nor-rapamycin
14. 39-demethoxy-40-desoxy-39-[N-methyl, N-(2-pyridin-2-y l-ethyl)]carbamoyl- 42-nor-rapamycin
15. 39-demethoxy-40-desoxy-39-(p-toluenesulfonylhydrazonomethyl)-42-nor-rapamycin
The compounds are produced from rapamycin or a rapamycin derivative generally as follows:
1. When the compound desired is of Formula I wherein R, is other than methyl, the modification at the 16-0 can be produced either (i) by reaction of rapamycin or a rapamycin derivative with SeO2 and a compound RrOH under suitable reaction conditions, e.g., at elevated temperatures, wherein R, is as defined above; or preferably (ii) by reaction of rapamycin or a rapamycin derivative with an acid, e.g., p- toluenesulphonic acid, and a nucleophile, e.g., R.-OH, at room temperature, in a suitable aprotic solvent, e.g., dichloromethane, acetonitrile, or THF.
2. When the compound desired is of formula I where R2 is of formula II and R3 is other than H, for example, O-alkylation at the C40 hydroxy is accomplished by reaction with an organic radical attached to a leaving group (e.g., R3-Z where R3 is an organic radical as defined above, e.g., an alkyl, allyl, or benzyl moiety, which is desired as the O-substituent, and Z is the leaving group, e.g., CCl3C(NH)O or CF3SO3) under suitable reaction conditions, e.g., in the presence of an acid like trifluoromethanesulfonic acid, camphorsulfonic acid, p-toluenesulfonic acid or their respective pyridinium or substituted pyridinium salts when Z is CCl3C(NH)O or in the presence of a base like pyridine, a substituted pyridine, diisopropylethylamine or pentamethylpiperidine when Z is CF3SO3, or analogously to the methods described in US 5 258 389 or PCT/EP 93/02604 for 40-O alkylation of rapamycin.
3. When the compound desired is of formula I where R2 is of formula III, conversion of the cyclohexyl ring of formula II to the cyclopentyl ring of formula III is accomplished by reaction with morpholinosulphur trifloride to obtain the aldehyde compound (e.g., where R5 is formyl). This compound thus obtained may then be oxidized from the aldehyde to the carboxylic acid (e.g., where R5 is carboxy), or reduced from the aldehyde to the alcohol (e.g., where R5 is hydroxymethyl). Further O- substitution or modification to make the other compounds of the invention is performed according to processes known to those skilled in the art, e.g., the following general processes: (i) for oxymethyl derivatives, the alcohol compound is reacted analogously as described above for 40-O-substitution; (ii) for acyl derivatives, the carboxylic acid compound is reacted with the desired amine or alcohol in the presence of an activating or coupling reagent, e.g., oxalylchloride or dicyclohexylcarbodiimide, to give the desired amide or ester compounds respectively; and (iii) for iminomethyl or dioxymethylyne compounds, the aldehyde compound is condensed with the desired amine or alkylenediol, respectively, under acidic conditions.
4. When the compound desired is of formula I where X is other than O, the 32-O- dihydro compound (where X is (H,OH) ) is prepared by O-protecting the hydroxy groups, e.g., at positions 28 and 40 of rapamycin, e.g., using triethylsilyl ether protecting groups, reducing the protected compound, e.g., using L-selectride, and optionally deprotecting, e.g., under mildly acidic conditions, analogously to the method described in US 5 256 790 for preparation of 32-O-dihydro-rapamycin from rapamycin. Where substitution at the 32 hydroxy is desired, the 28,40-O,O-protected compound is alkylated, e.g., as described for 40-O alkylation above, acylated, or otherwise O-substituted, e.g., analogously to the procedures described in US 5 256 790.
The above processes may be carried out in any order, preferably using rapamycin as the ultimate starting material. Where necessary, the starting materials and intermediates may be protected (e.g., O-protected as described in process 4) before carrying out the above reaction(s) and then deprotected to obtain the desired final product.
The Novel Compounds are particularly useful for the following conditions: a) Treatment and prevention of organ or tissue transplant rejection, e.g. for the treatment of recipients of e.g. heart, lung, combined heart-lung, liver, kidney, pancreatic, skin or corneal transplants; including treatment and prevention of acute rejection; treatment and prevention of hyperacute rejection, e.g., as associated with xenograft rejection; and treatment and prevention of chronic rejection, e.g., as associated with graft-vessel disease. The Novel Compounds are also indicated for the treatment and prevention of graft-versus-host disease, such as following bone marrow transplantation. b) Treatment and prevention of autoimmune disease and of inflammatory conditions, in particular inflammatory conditions with an etiology including an autoimmune component such as arthritis (for example rheumatoid arthritis, arthritis chronica progrediente and arthritis deformans) and rheumatic diseases. Specific auto¬ immune diseases for which the compounds of the invention may be employed include, autoimmune hematological disorders (including e.g. hemolytic anaemia, aplastic anaemia, pure red cell anaemia and idiopathic thrombocytopenia), systemic lupus erythematosus, polychondritis, sclerodoma, Wegener granulamatosis, dermatomyositis, chronic active hepatitis, myasthenia gravis, psoriasis, Steven-Johnson syndrome, idiopathic sprue, autoimmune inflammatory bowel disease (including e.g. ulcerative colitis and Crohn's disease) endocrine ophthalmopathy, Graves disease, sarcoidosis, multiple sclerosis, primary billiary cirrhosis, juvenile diabetes (diabetes mellitus type I), uveitis (anterior and posterior), keratoconjunctivitis sicca and vernal keratoconjunctivitis, interstitial lung fibrosis, psoriatic arthritis, glomerulonephritis (with and without nephrotic syndrome, e.g. including idiopathic nephrotic syndrome or minimal change nephropathy) and juvenile dermatomyositis. c) Treatment and prevention of asthma. d) Treatment of multi-drug resistance (MDR). The Novel Compounds suppress P-glycoproteins (Pgp), which are the membrane transport molecules associated with MDR. MDR is particularly problematic in cancer patients and AIDS patients who will not respond to conventional chemotherapy because the medication is pumped out of the cells by Pgp. The Novel Compounds are therefore useful for enhancing the efficacy of other chemotherapeutic agents in the treatment and control of multidrug resistant conditions such as multidrug resistant cancer or multidrug resistant AIDS. e) Treatment of proliferative disorders, e.g. tumors, hyperproliferative skin disorder and the like. f) Treatment of fungal infections. g) Treatment and prevention of inflammation, especially in potentiating the action of steroids. h) Treatment and prevention of infection, especially infection by pathogens having Mip or Mip-like factors.
The invention thus provides the Novel Compounds described herein, for use as novel intermediates or as pharmaceuticals, methods of treating or preventing the above- described disorders by administering an effective amount of a Novel Compound to a patient in need thereof, use of a Novel Compound in the manufacture of a medicament for treatment or prevention of the above-described disorders, and pharmaceutical compositions comprising a Novel Compound in combination or association with a pharmaceutically acceptable diluent or carrier. The Novel Compounds are utilized by administration of a pharmaceutically effective dose in pharmaceutically acceptable form to a subject in need of treatment. Appropriate dosages of the Novel Compounds will of course vary, e.g. depending on the condition to be treated (for example the disease type or the nature of resistance), the effect desired and the mode of administration.
In general however satisfactory results are obtained on administration orally at dosages on the order of from 0.05 to 5 or up to lOmg/kg/day, e.g. on the order of from 0.1 to 2 or up to 7.5 mg/kg/day administered once or, in divided doses 2 to 4x per day, or on administration parenterally, e.g. intravenously, for example by i.v. drip or infusion, at dosages on the order of from 0.01 to 2.5 up to 5 mg/kg/day, e.g. on the order of from 0.05 or 0.1 up to 1.0 mg/kg/day. Suitable daily dosages for patients are thus on the order of 500 mg p.o., e.g. on the order of from 5 to 100 mg p.o., or on the order of from 0.5 to 125 up to 250 mg i.v., e.g. on the order of from 2.5 to 50 mg i.v..
Alternatively and even preferably, dosaging is arranged in patient specific manner to provide pre-determined trough blood levels, e.g. as determined by RIA technique. Thus patient dosaging may be adjusted so as to achieve regular on-going trough blood levels as measured by RIA on the order of from 50 or 150 up to 500 or lOOOng/ml, i.e. analogously to methods of dosaging currently employed for Ciclosporin immunosuppressive therapy.
The Novel Compounds may be administered as the sole active ingredient or together with other drugs. For example, in immunosuppressive applications such as prevention and treatment of graft vs. host disease, transplant rejection, or autoimmune disease, the Novel Compounds may be used in combination with cyclosporins or ascomycins, or their immunosuppressive analogs, e.g., cyclosporin A, cyclosporin G, FK- 506, etc.; corticosteroids; cyclophosphamide; azathioprene; methotrexate; brequinar; leflunomide; mizoribine; immunosuppressive monoclonal antibodies, e.g., monoclonal antibodies to leukocyte receptors, e.g., MHC, CD2, CD3, CD4, CD7, CD25, CD28, CTLA4, B7, CD45, or CD58 or their ligands; or other immunomodulatory compounds. For immunosuppressive applications, e.g., treatment and prevention of organ or tissue transplant rejection, the combination is most preferably with IL-2 transcription inhibitors such as the immunosuppressive cyclosprins (e.g., cyclosporin A) and ascomycins (e.g., FK-506). For anti-inflammatory applications, the Novel Compounds can also be used together with anti-inflammatory agents, e.g., corticosteroids. For anti-infective applications, the Novel Compounds can be used in combination with other anti-infective agents, e.g., anti-viral drugs or antibiotics.
The Novel Compounds are administered by any conventional route, in particular enterally, e.g. orally, for example in the form of solutions for drinking, tablets or capsules or parenterally, for example in the form of injectable solutions or suspensions. Suitable unit dosage forms for oral administration comprise, e.g. from 1 to 50 mg of a compound of the invention, usually 1 to 10 mg. Pharmaceutical compositions comprising the novel compounds may be prepared analogously to pharmaceutical compositions comprising rapamycin, e.g., as described in EPA 0 041 795, which would be evident to one skilled in the art.
The pharmacological activities of the Novel Compounds are demonstrated in, e.g., the following tests:
1. Mixed lymphocyte reaction (MLR)
The Mixed Lymphocyte Reaction was originally developed in connection with allografts, to assess the tissue compatibility between potential organ donors and recipients, and is one of the best established models of immune reaction in vitro. A murine model MLR, e.g., as described by T.Meo in "Immunological Methods", L. Lefkovits and B. Peris, Eds., Academic Press, N.Y. pp. 227-239 (1979), is used to demonstrate the immunosuppressive effect of the Novel Compounds. Spleen cells (0.5 x 106) from Balb/c mice (female. 8-10 weeks) are co-incubated for 5 days with 0.5 x 106 irradiated (2000 rads) or mitomycin C treated spleen cells from CBA mice (female, 8-10 weeks). The irradiated allogeneic cells induce a proliferative response in the Balb/c spleen cells which can be measured by labeled precursor incorporation into the DNA. Since the stimulator cells are irradiated (or mitomycin C treated) they do not respond to the Balb/c cells with proliferation but do retain their antigenicity. The antiproliferative effect of the Novel Compounds on the Balb/c cells is measured at various dilutions and the concentration resulting in 50% inhibition of cell proliferation (IC50) is calculated. All of the exemplified Novel Compounds are active in this assay. The alkynyl derivatives of the examples are particularly potent immunosuppressants, with an IC50 in this assay relative to rapamycin of 0.3 - 0.8, i.e., up to 3x more active than rapamycin.
2. IL-6 mediated proliferation
The capacity of the Novel Compounds to interfere with growth factor associated signalling pathways is assessed using an interleukin-6 (IL-6)-dependent mouse hybridoma cell line. The assay is performed in 96-well microtiter plates. 5000 cells/well are cultivated in serum-free medium (as described by M. H. Schreier and R. Tees in Immunological Methods, I. Lefkovits and B. Pernis, eds., Academic Press 1981 , Vol. II, pp. 263-275), supplemented with 1 ng recombinant IL-6/ml. Following a 66 hour incubation in the absence or presence of a test sample, cells are pulsed with 1 μCi (3-H)-thymidine/well for another 6 hours, harvested and counted by liquid scintillation. (3-H)-thymidine incorporation into DNA correlates with the increase in cell number and is thus a measure of cell proliferation. A dilution series of the test sample allows the calculation of the concentration resulting in 50% inhibition of cell proliferation (IC50). All of the exemplified Novel Compounds are active in this assay. The alkynyl derivatives of the examples are particularly potent immunosuppressants, with an IC50 in this assay relative to rapamycin of from 0.2 to 0.9, i.e., up to 5x more active than rapamycin.
3. Macrophilin binding assay
Rapamycin and the structurally related immunosuppressant, FK-506, are both known to bind in vivo to macrophilin- 12 (also known as FK-506 binding protein or FKBP-12), and this binding is thought to be related to the immunosuppressive activity of these compounds. The Novel Compounds also bind strongly to macrophilin- 12, as is demonstrated in a competitive binding assay. In this assay, FK-506 coupled to BSA is used to coat microtiter wells. Biotinylated recombinant human macrophilin- 12 (biot-MAP) is allowed to bind in the presence or absence of a test sample to the immobilized FK-506. After washing (to remove non-specifically bound macrophilin), bound biot-MAP is assessed by incubation with a streptavidin-alkaline phosphatase conjugate, followed by washing and subsequent addition of p-nitrophenyl phosphate as a substrate. The read-out is the OD at 405nm. Binding of a test sample to biot-MAP results in a decrease in the amount of biot-MAP bound to the FK-506 and thus in a decrease in the OD405. A dilution series of the test sample allows determination of the concentration resulting in 50% inhibition of the biot-MAP binding to the immobilized FK-506 (IC50). The exemplified Novel Compounds all exhibit good binding to FKBP in this assay.
4. Localized Graft-Versus-Host (GvH Reaction
In vivo efficacy of the Novel Compounds is proved in a suitable animal model, as described, e.g., in Ford et al, TRANSPLANTATION K) (1970) 258. Spleen cells (1 x 107) from 6 week old female Wistar/Furth (WF) rats are injected subcutaneously on day 0 into the left hind-paw of female (F344 x WF)F, rats weighing about lOOg. Animals are treated for 4 consecutive days and the popliteal lymph nodes are removed and weighed on day 7. The difference in weight between the two lymph nodes is taken as the parameter for evaluating the reaction.
5. Kidney Allograft Reaction in Rat
One kidney from a female fisher 344 rat is transplanted onto the renal vessel of a unilaterally (left side) nephrectomized WF recipient rat using an end-to-end anastomosis. Ureteric anastomosis is also end-to-end. Treatment commences on the day of transplantation and is continued for 14 days. A contralateral nephrectomy is done seven days after transplantation, leaving the recipient relying on the performance of the donor kidney. Survival of the graft recipient is taken as the parameter for a functional graft.
6. Experimentally Induced Allergic Encephalomyelitis (EAE) in Rats Efficacy of the Novel Compounds in EAE is measured, e.g., by the procedure described in Levine & Wenk, AMER J PATH 47 (1965) 61; McFarlin et al, J IMMUNOL ϋ3 (1974) 712; Borel, TRANSPLANT. & CLIN. IMMUNOL 13 (1981 ) 3. EAE is a widely accepted model for multiple sclerosis. Male Wistar rats are injected in the hind paws with a mixture of bovine spinal cord and complete Freund's adjuvant. Symptoms of the disease (paralysis of the tail and both hind legs) usually develop within 16 days. The number of diseased animals as well as the time of onset of the disease are recorded.
7. Freund's Adjuvant Arthritis
Efficacy against experimentally induced arthritis is shown using the procedure described, e.g., in Winter & Nuss, ARTHRITIS & RHEUMATISM 9 (1966) 394; Billingham & Davies, HANDBOOK OF EXPERIMENTAL PHARMACOL (Vane & Ferreira Eds, Springer-Veriag, Berlin) 50/11 (1979) 108-144. OFA and Wistar rats (male or female, 150g body weight) are injected i.e. at the base of the tail or in the hind paw with 0.1 ml of mineral oil containing 0.6 mg of lyophilized heat-killed Mycobacterium smegmatis. In the developing arthritis model, treatment is started immediately after the injection of the adjuvant (days 1 - 18); in the established arthritis model treatment is started on day 14, when the secondary inflammation is well developed (days 14-20). At the end of the experiment, the swelling of the joints is measured by means of a micro- caliper. ED50 is the oral dose in mg/kg which reduces the swelling (primary or secondary) to half of that of the controls.
8. Antitumor and MDR activity
The antitumor activity of the Novel Compounds and their ability to enhance the performance of antitumor agents by alleviating multidrug resistance is demonstrated, e.g., by administration of an anticancer agent, e.g., colchicine or etoposide, to multidrug resistant cells and drug sensitive cells in vitro or to animals having multidrug resistant or drug sensitive tumors or infections, with and without co-administration of the Novel Compounds to be tested, and by administration of the Novel Compound alone. Such in vitro testing is performed employing any appropriate drug resistant cell line and control (parental) cell line, generated, e.g. as described by Ling et al., J. Cell. Physiol. 83.. 103-116 (1974) and Bech-Hansen et al. J. Cell. Physiol. 88, 23-32 (1976). Particular clones chosen are the multi-drug resistant (e.g. colchicine resistant) line CHR (subclone C5S3.2) and the parental, sensitive line AUX Bl (subclone AB1 SI 1). In vivo anti-tumor and anti-MDR activity is shown, e.g., in mice injected with multidrug resistant and drug sensitive cancer cells. Ehrlich ascites carcinoma (EA) sub-lines resistant to drug substance DR, VC, AM, ET, TE or CC are developed by sequential transfer of EA cells to subsequent generations of BALB/c host mice in accordance with the methods described by Slater et al., J. Clin. Invest, 70, 1 131 (1982). Equivalent results may be obtained employing the Novel Compounds test models of comparable design, e.g. in vitro, or employing test animals infected with drug-resistant and drug sensitive viral strains, antibiotic (e.g. penicillin) resistant and sensitive bacterial strains, anti-mycotic resistant and sensitive fungal strains as well as drug resistant protozoal strains, e.g. Plasmodial strains, for example naturally occurring sub-strains of Plasmodium falciparum exhibiting acquired chemotherapeutic, anti-malarial drug resistance.
9. Steroid potentiation
The macrophilin binding activity of the Novel Compounds also makes them useful in enhancing or potentiating the action of corticosteroids. Combined treatment with the compounds of the invention and a corticosteroid, such as dexamethasone, results in greatly enhanced steroidal activity. This can be shown, e.g., in the murine mammary tumor virus-chloramphenicol acetyltransferase (MMTV-CAT) reporter gene assay, e.g., as described in Ning, et al., J. Biol. Chem. (1993) 268: 6073. This synergistic effect allows reduced doses of corticosteroids, thereby reducing the risk of side effects in some cases.
10. Mip and Mip-like factor inhibition
Additionally, the Novel Compounds bind to and block a variety of Mip (macrophage infectivity potentiator) and Mip-like factors, which are structurally similar to macrophilin. Mip and Mip-like factors are virulence factors produced by a wide variety of pathogens, including those of the genera Chlamidia. e.g., Chlamidia trachomatis: Neisseria. e.g., Neisseria meningitidis: and Legionella. e.g., Legionella pneumophilia*. and also by the obligately parasitic members of the order Rickettsiales. These factors play a critical role in the establishment of intracellular infection. The efficacy of the Novel Compounds in reducing the infectivity of pathogens which produce Mip or Mip-like factors can be shown by comparing infectivity of the pathogens in cells culture in the presence and absence of the macrolides, e.g., using the methods described in Lundemose, et al., Mol. Microbiol. (1993) 7: 777.
The Novel Compounds are also useful in assays to detect the presence or amount of macrophilin-binding compounds, e.g., in competitive assays for diagnostic or screening purposes. Thus, in another embodiment, the invention provides for use of the Novel Compounds as a screening tool to determine the presence of macrophilin-binding compounds in a test solution, e.g., blood, blood serum, or test broth to be screened. Preferably, a Novel Compound is immobilized in microtiter wells and then allowed to bind in the presence and absence of a test solution to labelled macrophilin- 12 (FKBP- 12). Alternatively, the FKBP-12 immobilized in microtiter wells and allowed to bind in the presence and absence of a test solution to a Novel Compound which has been labelled, e.g., fluoro-, enzymatically- or radio-labelled, e.g., a Novel Compound of Formula I wherein Rj comprises a labelling group. The plates are washed and the amount of bound labelled compound is measured. The amount of macrophilin-binding substance in the test solution is roughly inversely proportional to the amount of bound labelled compound. For quantitative analysis, a standard binding curve is made using known concentrations of macrophilin binding compound.
The following examples are intended to illustrate rather than limit the invention. Characteristic spectrascopic data is provided to aid in identification of the compounds.
Example 1 : 16-demethoxy-16-(pent-2-vnyl')oxy -rapamycin
To a solution of 0.6 ml 2-pentyn-l -ol in 5 ml CH2Cl2 are added 456 mg rapamycin followed by 5 mg p-toluenesulfonic acid. The mixture is stirred for 2 h at room temperature. Then the reaction is quenched with 7 ml of a saturated aqueous solution of NaHCO3. The aqueous phase is separated and extracted 2x with 10 ml ethyl acetate. The organic phases are combined, dried over sodium sulfate and the solvent evaporated. The residue is chromatographed over silica gel, eluting with ethyl acetate/hexane 3/2. The crude product is finally purified by preparative HPLC (RP-18, 250x10 mm, MeOH/H2O
80/20, 3 ml/min).
MS (FAB) m/z 972 (M+Li)
H-NMR (CDC13)(major isomer) d: 0.67 (I H, q); 1.13 (3H, t); 1.67 (3H,s); 1.74 (3H, s);
3.33 (3H, s); 3.40 (3H, s); 3.73 (IH, d); 3.77 (IH, dm); 4.01 (I H, dm); 4.16 (I H, d);
4.66 (IH, s).
Example 2: 16-demethoxy-16- but-2-vnyl')oxy-rapamvcin
To a solution of 0.4 ml 2-butyn-l -ol in 3 ml CH2C12 are added 251 mg rapamycin followed by 4 mg p-toluenesulfonic acid. The mixture is stirred for 2 h at room temperature. Then the reaction is quenched with 7 ml of a saturated aqueous solution of NaHCO3. The aqueous phase is separated and extracted 2x with 10 ml ethyl acetate. The organic phases are combined, dried over sodium sulfate and the solvent evaporated. The residue is chromatographed over silica gel, eluting with ethyl acetate/hexane 3/2. The crude product is finally purified by preparative HPLC (RP-18, 250x10 mm, MeOH/H2O 80/20, 3 ml/min). MS (FAB) m/z 958 (M+Li)
H-NMR (CDC13)(major isomer) d: 0.67 (IH, q); 1.67 (3H,s); 1.74 (3H, s); 1.83 (I H, bs); 3.33 (3H, s); 3.40 (3H, s); 3.72 (I H, d); 3.75 (I H, dm); 4.01 (I H, dm); 4.16 (I H, d); 4.73 (I H, s).
Example 3: l ό-demethoxy-l ό-fpropargvDoxy-rapamvcin
To a solution of 0.3 ml propargyl alcohol in 3 ml CH2C12 are added 251 mg rapamycin followed by 4 mg p-toluenesulfonic acid. The mixture is stirred for 2 h at room temperature. Then the reaction is quenched with 7 ml of a saturated aqueous solution of NaHCO3. The aqueous phase is separated and extracted 2x with 10 ml ethyl acetate. The organic phases are combined, dried over sodium sulfate and the solvent evaporated. The residue is chromatographed over silica gel, eluting with ethyl acetate/hexane 3/2. The crude product is finally purified by preparative HPLC (RP-18,
250x10 mm, MeOH/H2O 80/20, 3 ml/min).
MS (FAB) m/z 944 (M+Li)
H-NMR (CDC13)(major isomer) d: 0.68 (IH, q); 1.66 (3H,s); 1.74 (3H, s); 2.32 (IH, bt);
3.34 (3H, s); 3.41 (3H, s); 3.67 (IH, d); 3.83 (IH, dm); 4.08 (IH, dm); 4.16 (IH, d); 4.84 (IH, s).
Example 4: 16-demethoxy-16-(4-hydroxy-but-2-vnyl')oxy -rapamycin
To a suspension of 940 mg 2-butyn-l ,4-diol in 6 ml CH2C12 are added 502 mg rapamycin followed by 5 mg p-toluenesulfonic acid. The mixture is stirred for 2 h at room temperature. Then the reaction is quenched with 10 ml of a saturated aqueous solution of NaHCO3. The aqueous phase is separated and extracted 2x with 10 ml ethyl acetate. The organic phases are combined, dried over sodium sulfate and the solvent evaporated. The residue is chromatographed over silica gel, eluting with ethyl acetate/hexane 4/1. The crude product is finally purified by preparative HPLC (RP-18, 250x25 mm, MeOH/H2O 75/25, 7 ml/min). MS (FAB) m z 974 (M+Li)
H-NMR (CDC13)(major isomer) d: 0.67 (IH, q); 1.67 (3H,s); 1.75 (3H, s); 3.33 (3H, s); 3.41 (3H, s); 3.73 (IH, d); 3.81 (IH, dm); 4.08 (I H, dm); 4.17 (IH, d); 4.28 (2H, bs); 4.67 (IH, s).
Example 5: 16-demethoxy-16-benzyloxy-40-O-C2-hvdroxyethyl")-rapamycin
To a solution of 0.6 ml benzyl alcohol in 3 ml CH2C12 are added 264 mg 40-O-(2-hydroxyethyl)-rapamycin (prepared as described in WO 94/09010) followed by 5 mg p-toluenesulfonic acid. The mixture is stirred for 1 h at room temperature. Then the reaction is quenched with 7 ml of a saturated aqueous solution of NaHCO3. The aqueous phase is separated and extracted 2x with 10 ml diethyl ether. The organic phases are combined, dried over sodium sulfate and the solvent evaporated. The residue is chromatographed over silica gel, eluting with ethyl hexane/acetone 4/1 followed by hexane/acetone 1/1. The crude product is finally purified by preparative HPLC (RP-18, 250x25 mm, CH3CN/H2O 75/25, 8 ml/min). MS (FAB) m z 1040 (M+Li)
H-NMR (CDC13)(major isomer) d: 0.72 (IH, q); 1.73 (6H,s); 3.32 (3H, s); 3.43 (3H, s);
3.7 (4H, m); 4.15 (IH, d); 4.18 (IH, d); 4.47 (IH, d)); 4.80 (IH, s); 7.3 (5H, m).
Example 6: 16-demethoxy-16-benzyloxy -rapamycin:
1 mmol rapamycin is dissolved in 50 ml methylene chloride containing 3 ml of benzyl alcohol. 0.1 mmol of p-toluenesulphonic acid is added, and the reaction mixture is then stirred at room temperature for 2-10 hours. The reaction mixture is then poured in a saturated solution of sodium bicarbonate. The organic layer is separated, dried over sodium sulphate, and the solvent evaporated. The crude product is then purified by HPLC to give the pure title compound as a white powder.
Example 7: 16-demethoxy-16-(ortho-methoxybenzyPoxy -rapamycin
To a solution of 0.76 g of ortΛo-methoxy-benzyl alcohol in 3 mL CH2C12 are added 250 mg of rapamycin followed by 5 mg of p-toluenesulfonic acid. The mixture is stirred for 8 h at room temperature and the reaction is quenched with 5 mL of a saturated aqueous solution of NaHCO3. The layers are separated and the aqueous layer is extracted 2x with 10 mL ether. The combined organic solution is dried over sodium sulfate, filtered and concentrated under reduced pressure. The residue is chromatographed over silica gel, using hexane/acetone (4/1 to 3/2) as the eluent. The resulting product is further purified by preparative HPLC (RP-18, 250x25 mm, CH3CN/H2O 75/25, 8 mL/min).
MS (FAB) m z 1026 (M+Li)
H-NMR (CDClj) (major isomer) 5: 0.67 (IH, q); 1.73 and 1.74 (6H, 2s); 3.33 (3H, s); 3.41 (3H, s); 3.72 (I H, d); 3.81 (3H, s); 4.18 (IH, broad d); 4.26 (IH, d); 4.45 (IH, d); 4.72 (IH, broad s); 6.83 (IH, d); 6.92 (IH, m); 7.23 (IH, m); 7.32 (IH, m).
Example 8: 16-demethoxy-40-O-(2-methoxyethyl)-16-(pent-2-ynyl)oxy -rapamycin To a solution of 0.7 ml 2-pentyn-l -ol in 5 ml CH2C12 are added 486 mg of 40-O-(2-methoxyethyl)-rapamycin followed by 5 mg p-toluenesulfonic acid. The mixture is stirred for 2 h at room temperature. Then the reaction is quenched with 7 ml of a saturated aqueous solution of NaHCO3. The aqueous phase is separated and extracted 2x with 10 ml ethyl acetate. The organic phases are combined, dried over sodium sulfate and the solvent evaporated. The residue is chromatographed over silica gel, eluting with ethyl acetate/hexane 1/1. The crude product is finally purified by preparative HPLC (RP-18, 250x25 mm, MeOH/H2O 83/17, 7 ml/min). MS (FAB) m/z 1030 (M+Li)
H-NMR (CDC13)(major isomer) d: 0.72 (IH, q); 1.14 (3H, t); 1.67 (3H,s); 1.74 (3H, s); 3.33 (3H, s); 3.38 (3H, s); 3.45 (3H, s); 3.73 (IH, d); 3.77 (IH, dm); 4.01 (IH, dm); 4.17 (IH, d); 4.65 (IH, s).
Example 9: 39-demethoxy-40-desoxy-39-formyl-42-nor-rapamycin
To a solution of 1.85 g of rapamycin in 40 ml acetonitrile at -30 C are added 365 μl moφholinosulphur trifluoride. The reaction mixture is kept lh at -30 C, lh at 0 C and then quenched with a saturated aqueous bicarbonate solution. The aqueous phase is extracted 3x with 30 ml ethyl acetate, and the organic phases are combined and dried over sodium sulfate. After evaporation of the solvent, the crude product is purified by column chromatography over silica gel, eluting with hexane/acetone 4/1. MS (FAB, Lil matrix) : 888 (M+ Li)
H-NMR (CDC13): 3.13 (s, 3H); 3.34 (s, 3H); 9.62 (d, IH); no other singulet between 3.0 and 3.6 ppm. No signal between 0.6 and 0.85 ppm
Example 10: 39-demethoxy-40-desoxy-39-hydroxymethyl-42-nor-rapamycin
A solution of 44 mg 39-demethoxy-40-desoxy-39-formyl-42-nor-rapamycin in 1.2 ml of THF/water 5/1 is treated with 1.5 mg of t-butylamine/borane complex for 2h at 0 C. the reaction mixture is then poured on 2 ml HC1 0.1N and extracted with 3x 5 ml ethyl acetate. The organic phases are combined, washed with 2 ml of a saturated sodium bicarbonate solution and dried over sodium sulfate. The solvent is evaporated in vacuo, and the crude product is purified by column chromatography over silica gel eluting with hexane/ethyl acetate 1/1. MS (FAB, Lil matrix): 890 (M + Li)
H-NMR (CDC13): 3.13 (s, 3H); 3.33 (s, 3H); 4.18 (m, 2H). No signal betwwen 0.5 and
0.85 ppm.; no aldehyde proton at 9.62 ppm.
Example 11 : 39-demethoxy-40-desoxy-39-carboxy-42-nor-rapamycin
A solution of 85 mg NaOCl and 1 13 mg NaH2PO4 in 2 ml water is added to a solution of 11 1 mg 39-demethoxy-40-desoxy-39-formyl-42-nor-rapamycin and 0.2 ml 2-methyl-2-butene in 4 ml t-butanol. The mixture is stirred at room temperature for 2h. The solvents are then evaporated and the residue extracted with 3x 5 ml ethyl acetate. The organic phases are combined, dried over anhydrous sodium sulfate and the solvent evaporated. The product is purified by preparative HPLC (RP-18, 250x10 mm, acetonitrile/water 60/40, 3 ml/mn). MS (FAB, Lil matrix): 904 (M+Li)
H-NMR(CDC ): 1.65(s, 3H); 1.78(s, 3H); 3.13(s, 3H); 3.33(s, 3H); 3.75(d, IH); 4.18 (d, IH). No signal below 0.85 ppm. No additional singulet in the region 3.0-3.6 ppm.
Example 12: 39-demethoxy-40-desoxy-39-(4-methyl-piperazin-l -vDcarbonyl-42-nor-rapamvcin
To a stirred solution of 180 mg 39-carboxy-39-demethoxy-40-desoxy- 42-nor-rapamycin in 4 ml THF at - 75 C are added 0.08 ml pyridine followed by 0.04 ml oxalyl chloride. The reaction mixture is kept at - 75 C for 30 minutes after which 0.09 ml N-methyl-piperazine are added. The reaction is stirred for an additional hour and then quenched with 5 ml of saturated aqueous sodium bicarbonate and 5 ml ethyl acetate. The water phase is separated and extracted with 2x 5 ml ethyl acetate. The organic phases are combined, dried over sodium sulfate and the solvent evaporated. The crude product is purified by preparative HPLC (RP-18, 250x10 mm, MeOH/H2O 85/15, 3 ml/mn).
MS (FAB) m z 986 (M+Li)
H-NMR (CDC13) d= 1.65 (3H, s); 1.78 (3H, s); 2.31 (3H, s); 2.4 (4H, m); 3.13 (3H, s); 34 (3H, ?); 3.79 (IH, d); 4.21 (IH, d); 4.68 (IH, bs). Example 13: 39-demethoxy-40-desoxy-39-(moφholin-4-yl carbonyl-42-nor-rapamvcin
This compound is obtained following the method of Example 1 1 , using moφholine instead of N-methyl-piperazine. MS (FAB) m/z 973 (M+Li)
H-NMR (CDC13) d= 1.65 (3H, s); 1.77 (3H, s); 3.13 (3H, s); 3.33 (3H, s); 3.6 (4H, m); 3. 77 (IH, d); 4.19 (IH, d); 4.66 (IH, bs).
Example 14: 39-demethoxy-40-desoxy-39-rN-methyl.N-(2-pyridin-2-yl-ethyl)lcarbamoyl- 42-nor-rapamvcin
This compound is obtained following the method of Example 1 1 using (2-pyridin-2-yl-ethyl)methylamine instead of N-methyl-piperazine. MS (FAB) m z 1022 (M+Li)
H-NMR (CDC13) d= 1.66 (3H, s); 1.78 (3H, s); 2.93 (3H, s); 3.13 (3H, s); 3.33 (3H, s); 4.23 (IH, m); 4.67 (IH, s); 7.1 (2H, m); 7.6 (IH, m); 8.51 (IH, d).
Example 15: 39-demethoxy-40-desoxy-39-(p-toluenesulfonylhvdrazonomethyl)-42-nor-rapamycin
To a mixture of 523 mg 39-demethoxy-40-desoxy-39-formyl-42-nor-rapamycin in 10 ml acetonitrile are added 156 mg p-toluenesulfonylhydrazide. The reaction mixture is stirred for 30 minutes at room temperature and then the solvent is evaporated. The residue is chromatographed over silica gel, eluting with hexane/acetone 5/1, to give the title compound. MS (FAB) m/z 1056 (M+Li)
H-NMR (CDC13) d= 1.65 (3H, s); 1.76 (3H, s); 2.43 (3H, s); 3.13 (3H, s); 3.34 (3H, s); 3.79 (IH, d); 4.18 (IH, d); 4.69 (IH, bs); 7.13 (IH, d); 7.32 (2H, d); 7.56 (IH, s); 7.80 (2H, d).

Claims

A compound of Formula I:
Formula I
wherein
R, is selected from alkyl, alkenyl, alkynyl, hydroxyalkyl, hydroxyalkenyl, hydroxyalkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, alkoxyarylalkyl, haloalkyl, haloaryl. haloarylalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxyalkyl, and alkylsilyl; R, is selected from formula II or formula III:
Figure imgf000027_0001
Formula II Formula III
wherein
R3 is selected from H, alkyl, alkyenyl, alkynyl, aryl, thioalkyl, arylalkyl, hydroxyarylalkyl, hydroxyaryl, hydroxyalkyl, dihydroxyalkyl, hydroxyalkoxyalkyl, hydroxyalkylarylalkyl, dihydroxyalkylarylalkyl, alkoxyalkyl, acyloxyalkyl, aminoalkyl, alkylaminoalkyl, alkoxycarbonylamidoalkyl, acylamidoalkyl, arylsulfonamidoalkyl, allyl, dihydroxyalkylallyl, dioxolanylallyl, carbalkoxyalkyl, and alkylsilyl; R4 is H, methyl or together with R3 forms C2.6 alkylene;
R5 is substituted or unsubstituted acyl, oxymethyl, iminomethyl, or dioxymethylyne; wherein "alk" or "alkyl" refers to a C,.10 aliphatic substituent (branched, linear, or cyclic), optionally interrupted by an oxy (-O-) linkage; and "ar" or "aryl" refers to a monocyclic, optionally heterocyclic, optionally substituted, C4.14 aromatic substituent; provided that when R2 is of formula II, then R, is other than methyl and (i) R3 is selected from hydroxyalkyl, alkoxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl, and aminoalkyl; and or (ii) X is other than O; and/or (iii) R, is (optionally hydroxy- substituted) alkynyl; and further provided that when R, is methyl, R2 is of Formula III.
2. A compound according to claim 1 of Formula I wherein R} is selected from benzyl, ørt zo-alkoxybenzyl, chlorobenzyl, and (optionally hydroxy-substituted) alkynyl; R2 is of formula II; R3 is selected from H, hydroxyalkyl, alkoxyalkyl, hydroxyalkoxyalkyl, acylaminoalkyl, and aminoalkyl; R4 is methyl; and X and Y are independently selected from O, (H,OH), and (H, CMalkoxy);
3. A compound according to claim 2 of Formula I wherein R, is (optionally hydroxy- substituted) C3.6 alk-2-ynyl; R2 is of formula II; R3 is selected from H, hydroxyalkyl, alkoxyalkyl, hydroxyalkoxyalkyl; R4 is methyl; and X and Y are O;
4. A compound according to claim 1 of Formula I wherein R2 is of Formula III.
5. A compound according to claim 1 selected from
i. 16-demethoxy-16-(pent-2-ynyl)oxy-rapamycin ii. 16-demethoxy-16-(but-2-ynyl)oxy -rapamycin iii. 16-demethoxy-16-(propargyl)oxy -rapamycin iv. 16-demethoxy-16-(4-hydroxy-but-2-ynyl)oxy-rapamycin v. 16-demethoxy-l 6-benzyloxy-40-O-(2-hydroxyethyl)-rapamycin vi. 16-demethoxy-l 6-benzyloxy -rapamycin vii. 16-demethoxy-16-ort/zo-methoxybenzyl-rapamycin viii. 16-demethoxy-40-O-(2-methoxyethyl)-16-(pent-2-ynyl)oxy -rapamycin ix. 39-demethoxy-40-desoxy-39-formyl-42-nor-rapamycin x. 39-demethoxy-40-desoxy-39-hydroxymethyl-42-nor-rapamycin xi. 39-demethoxy-40-desoxy-39-carboxy-42-nor-rapamycin xii. 39-demethoxy-40-desoxy-39-(4-methyl-piperazine-l-carbonyl)-42-nor-rapamycin xiii. 39-demethoxy-40-desoxy-39-(moφholin-4-yl)carbonyl-42-nor-rapamycin xiv. 39-demethoxy-40-desoxy-39-[N-methyl,N-(2-pyridin-2-yl-ethyl)]carbamoyl-
42-nor-rapamycin xv. 39-demethoxy-40-desoxy-39-(p-toluenesulfonylhydrazonomethyl)-42-nor-rapamycin
6. A compound according to any one of claims 1 through 5 for use as a pharmaceutical.
7. A pharmaceutical composition comprising a compound according to any one of claims 1 through 4 together with a pharmaceutically acceptable diluent or carrier.
8. Use of a compound according to any one of claims 1 through 4 in the manufacture of a medicament for treating or preventing any of the following conditions:
(i) autoimmune disease,
(ii) acute rejection of organ or tissue transplant,
(iii) hyperacute rejection of organ or tissue transplant,
(iii) chronic rejection of organ or tissue transplant,
(iii) graft vs. host disease,
(iv) asthma,
(v) multidrug resistance,
(vi) tumors or hypeφroliferative disorders, or
(vii) fungal infections,
(viii) inflammation, or
(ix) infection by pathogens having Mip or Mip-like factors.
9. A process for making a compound of Formula I comprising one or more of the following steps: i. When the compound desired is for Formula I wherein R, is other than methyl, reacting rapamycin or a derivative thereof with SeO2 and a compound R,-OH under suitable reaction conditions, wherein R, is as defined as for Formula I, or reacting rapamycin or a derivative thereof with an acid and a compound R,-OH in a suitable aprotic solvent; ii. When the compound desired is of formula I where R2 is of formula II and R3 is other than H, reacting rapamycin or a derivative thereof with an organic radical attached to a leaving group R3-Z where R3 is an organic radical as defined in Formula I which is desired as the O-substituent, and Z is the leaving group (preferably CCl3C(NH)O or CF3SO3) in the presence of a suitable acid, e.g., when Z is CCl3C(NH)O, or in the presence of a suitable base, e.g., when Z is CF3SO3; iii. When the compound desired is of formula I where R2 is of formula III, reacting rapamycin or a derivative thereof with moφholinosulphur trifloride to obtain the aldehyde compound, then optionally oxidizing the aldehyde to the carboxylic acid or reducing the aldehyde to the corresponding alcohol; and further optionally (a) O- substituting the alcohol thus obtained, as in step ii, or (b) reacting the carboxylic acid thus obtained with an amine or alcohol in the presence of an activating or coupling reagent to give the desired amide or ester compounds respectively, or (c) condensing the aldehyde thus obtained with the desired amine or alkylenediol, respectively, under acidic conditions to obtain the iminomethyl or dioxymethylyne compounds respectively; iv. When the compound desired is of formula I where X is other than O, reducing a rapamycin or derivative (in O-protected form) at the 32-keto to obtain the alcohol and optionally further O-substituting as in step ii; v. Optionally protecting and deprotecting as necessary; and recovering the compound of Formula I thus obtained.
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Cited By (163)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6187757B1 (en) 1995-06-07 2001-02-13 Ariad Pharmaceuticals, Inc. Regulation of biological events using novel compounds
WO2002066019A2 (en) * 2001-02-19 2002-08-29 Novartis Ag Cancer treatment
US6872383B2 (en) 1999-04-30 2005-03-29 Sucampo Ag Use of macrolide compounds for the treatment of dry eye
WO2005047295A1 (en) * 2003-11-12 2005-05-26 Sun Biomedical, Ltd. 42-o-alkoxyalkyl rapamycin derivatives and compositions comprising same
US6984635B1 (en) 1998-02-13 2006-01-10 Board Of Trustees Of The Leland Stanford Jr. University Dimerizing agents, their production and use
US7067526B1 (en) 1999-08-24 2006-06-27 Ariad Gene Therapeutics, Inc. 28-epirapalogs
US7196192B2 (en) 1999-08-24 2007-03-27 Ariad Gene Therapeutics, Inc. 28-epirapalogs
US7345053B2 (en) 2002-12-16 2008-03-18 Nitromed, Inc. Nitrosated and nitrosylated rapamycin compounds, compositions and methods of use
EP1944026A2 (en) 2002-05-16 2008-07-16 Novartis AG Use of EDG receptor binding agents in cancer
JP2009102349A (en) * 1996-03-27 2009-05-14 Novartis Ag Use of rapamycin derivative in vasculopathy and xenotransplantation
EP2181704A2 (en) 2002-12-30 2010-05-05 Angiotech International Ag Drug delivery from rapid gelling polymer composition
EP2216019A2 (en) 2005-03-04 2010-08-11 Novartis AG Ophthalmic uses of S1P receptor modulators
EP2251007A2 (en) 2002-09-24 2010-11-17 Novartis AG Sphingosine-1-phosphate (S1P) receptor agonists for use in the treatment of demyelinating diseases
US7838541B2 (en) 2002-02-11 2010-11-23 Bayer Healthcare, Llc Aryl ureas with angiogenesis inhibiting activity
EP2253320A1 (en) 2005-07-20 2010-11-24 Novartis AG Combination of a pyrimidylaminobenzamide and a mTOR kinase inhibitor
US7883855B2 (en) 2006-07-21 2011-02-08 Abbott Laboratories Immunosuppressant drug extraction reagent for immunoassays
US7897623B2 (en) 1999-01-13 2011-03-01 Bayer Healthcare Llc ω-carboxyl aryl substituted diphenyl ureas as p38 kinase inhibitors
WO2011026122A2 (en) 2009-08-31 2011-03-03 Amplimmune, Inc. B7-h4 fusion proteins and methods of use thereof
US7914999B2 (en) 2006-12-29 2011-03-29 Abbott Laboratories Non-denaturing lysis reagent
US7931896B2 (en) 2006-12-27 2011-04-26 The Johns Hopkins University Compositions and methods for treating inflammation and auto-immune diseases
EP2316377A1 (en) * 2002-04-24 2011-05-04 Biosensors International Group, Ltd. Drug-Delivery Endovascular Stent And Method For Treating Restenosis
AU2007201060B2 (en) * 2001-02-19 2011-07-07 Novartis Ag Cancer treatment
US7989173B2 (en) 2006-12-27 2011-08-02 The Johns Hopkins University Detection and diagnosis of inflammatory disorders
US7993851B2 (en) 2006-12-29 2011-08-09 Abbott Laboratories Lysis reagent for use with capture-in-solution immunoassay
WO2011130232A1 (en) 2010-04-13 2011-10-20 Novartis Ag Combination comprising a cyclin dependent kinase 4 or cyclin dependent kinase (cdk4/6) inhibitor and an mtor inhibitor for treating cancer
WO2011128405A1 (en) 2010-04-16 2011-10-20 Novartis Ag Combination of organic compounds
WO2011134899A1 (en) 2010-04-27 2011-11-03 Roche Glycart Ag Combination therapy of an afucosylated cd20 antibody with a mtor inhibitor
US8124630B2 (en) 1999-01-13 2012-02-28 Bayer Healthcare Llc ω-carboxyaryl substituted diphenyl ureas as raf kinase inhibitors
US8129127B2 (en) 2006-12-29 2012-03-06 Abbott Laboratories Assay for immunosuppressant drugs
US8221986B2 (en) 2006-12-29 2012-07-17 Abbott Laboratories Diagnostic test for the detection of a molecule or drug in whole blood
WO2012112847A1 (en) 2011-02-18 2012-08-23 Novartis Pharma Ag mTOR/JAK INHIBITOR COMBINATION THERAPY
US8252046B2 (en) 2002-04-24 2012-08-28 Biosensors International Group, Ltd. Drug-delivery endovascular stent and method for treating restenosis
WO2012149014A1 (en) 2011-04-25 2012-11-01 OSI Pharmaceuticals, LLC Use of emt gene signatures in cancer drug discovery, diagnostics, and treatment
WO2012148846A1 (en) 2011-04-25 2012-11-01 Novartis Ag Combination of a phosphatidylinositol-3-kinase (pi3k) inhibitor and a mtor inhibitor
EP2583678A2 (en) 2004-06-24 2013-04-24 Novartis Vaccines and Diagnostics, Inc. Small molecule immunopotentiators and assays for their detection
US8440185B2 (en) 2006-12-26 2013-05-14 The Johns Hopkins University Compositions and methods for the treatment of immunologic disorders
WO2013155493A1 (en) 2012-04-12 2013-10-17 Yale University Methods of treating inflammatory and autoimmune diseases and disorders
WO2013192367A1 (en) 2012-06-22 2013-12-27 Novartis Ag Neuroendocrine tumor treatment
AU2011226833B2 (en) * 2001-02-19 2014-05-22 Novartis Ag Cancer treatment
WO2014100439A2 (en) 2012-12-19 2014-06-26 Amplimmune, Inc. B7-h4 specific antibodies, and compositions and methods of use thereof
US8796250B2 (en) 2003-05-20 2014-08-05 Bayer Healthcare Llc Diaryl ureas for diseases mediated by PDGFR
US8853366B2 (en) 2001-01-17 2014-10-07 Emergent Product Development Seattle, Llc Binding domain-immunoglobulin fusion proteins
WO2014186798A1 (en) 2013-05-17 2014-11-20 Amplimmune, Inc. Receptors for b7-h4
US8921642B2 (en) 2008-01-11 2014-12-30 Massachusetts Eye And Ear Infirmary Conditional-stop dimerizable caspase transgenic animals
US9017679B2 (en) 2005-08-30 2015-04-28 University Of Miami Immunomodulating tumor necrosis factor receptor 25 (TNFR25) agonists, antagonists, and immunotoxins
WO2015073644A1 (en) 2013-11-13 2015-05-21 Novartis Ag Mtor inhibitors for enhancing the immune response
WO2015090230A1 (en) 2013-12-19 2015-06-25 Novartis Ag Human mesothelin chimeric antigen receptors and uses thereof
WO2015090229A1 (en) 2013-12-20 2015-06-25 Novartis Ag Regulatable chimeric antigen receptor
US9101609B2 (en) 2008-04-11 2015-08-11 Emergent Product Development Seattle, Llc CD37 immunotherapeutic and combination with bifunctional chemotherapeutic thereof
WO2015121795A1 (en) 2014-02-11 2015-08-20 Novartis Ag Pharmaceutical combinations comprising a pi3k inhibitor for the treatment of cancer
WO2015142661A1 (en) 2014-03-15 2015-09-24 Novartis Ag Regulatable chimeric antigen receptor
WO2015142675A2 (en) 2014-03-15 2015-09-24 Novartis Ag Treatment of cancer using chimeric antigen receptor
WO2015149001A1 (en) 2014-03-27 2015-10-01 The Brigham And Women's Hospital, Inc. Metabolically-activated drug conjugates to overcome resistance in cancer therapy
WO2015157252A1 (en) 2014-04-07 2015-10-15 BROGDON, Jennifer Treatment of cancer using anti-cd19 chimeric antigen receptor
WO2015171723A1 (en) 2014-05-06 2015-11-12 Research Development Foundation Methods for treating insulin resistance and for sensitizing patients to glp1 agonist therapy
WO2015187541A1 (en) 2014-06-02 2015-12-10 Children's Medical Center Corporation Methods and compositions for immunomodulation
WO2016014530A1 (en) 2014-07-21 2016-01-28 Novartis Ag Combinations of low, immune enhancing. doses of mtor inhibitors and cars
WO2016014553A1 (en) 2014-07-21 2016-01-28 Novartis Ag Sortase synthesized chimeric antigen receptors
WO2016025880A1 (en) 2014-08-14 2016-02-18 Novartis Ag Treatment of cancer using gfr alpha-4 chimeric antigen receptor
WO2016040806A1 (en) 2014-09-11 2016-03-17 The Regents Of The University Of California mTORC1 INHIBITORS
WO2016044605A1 (en) 2014-09-17 2016-03-24 Beatty, Gregory Targeting cytotoxic cells with chimeric receptors for adoptive immunotherapy
WO2016057705A1 (en) 2014-10-08 2016-04-14 Novartis Ag Biomarkers predictive of therapeutic responsiveness to chimeric antigen receptor therapy and uses thereof
EP3011958A1 (en) 2008-06-20 2016-04-27 Novartis AG Paediatric compositions for treating multiple sclerosis
WO2016066608A1 (en) 2014-10-28 2016-05-06 INSERM (Institut National de la Santé et de la Recherche Médicale) Methods and pharmaceutical compositions for treatment of pulmonary cell senescence and peripheral aging
US9359395B2 (en) 2009-02-05 2016-06-07 Tokai Pharmaceuticals, Inc. Prodrugs of steroidal CYP17 inhibitors/antiandrogens
US9387216B2 (en) 2013-08-12 2016-07-12 Tokai Pharmaceuticals, Inc. Biomarkers for treatment of neoplastic disorders using androgen-targeted therapies
US9439912B2 (en) 2013-03-14 2016-09-13 University Of Maryland, Baltimore Androgen receptor down-regulating agents and uses thereof
WO2016142508A1 (en) 2015-03-11 2016-09-15 Centre Léon-Bérard Composition for treating pancreatic neuroendocrine tumours
WO2016164580A1 (en) 2015-04-07 2016-10-13 Novartis Ag Combination of chimeric antigen receptor therapy and amino pyrimidine derivatives
WO2016168595A1 (en) 2015-04-17 2016-10-20 Barrett David Maxwell Methods for improving the efficacy and expansion of chimeric antigen receptor-expressing cells
WO2016172583A1 (en) 2015-04-23 2016-10-27 Novartis Ag Treatment of cancer using chimeric antigen receptor and protein kinase a blocker
US9499627B2 (en) 2009-08-03 2016-11-22 University Of Miami Method for in vivo expansion of T regulatory cells
WO2016185443A1 (en) 2015-05-20 2016-11-24 Novartis Ag Pharmaceutical combination of everolimus with dactolisib
WO2017041053A1 (en) 2015-09-04 2017-03-09 Yale University Polymeric bile acid nanocompositions targeting the pancreas and colon
US9603925B2 (en) 2013-01-09 2017-03-28 University Of Miami Compositions comprising TL1A-Ig fusion protein for the regulation of T regulatory cells, and methods for their use
AU2016206379B2 (en) * 2001-02-19 2017-09-14 Novartis Ag Cancer Treatment
WO2017173453A1 (en) 2016-04-01 2017-10-05 The Brigham And Women's Hospital, Inc. Stimuli-responsive nanoparticles for biomedical applications
WO2017190145A1 (en) 2016-04-29 2017-11-02 Icahn School Of Medicine At Mount Sinai Targeting the innate immune system to induce long-term tolerance and to resolve macrophage accumulation in atherosclerosis
WO2018057735A1 (en) 2016-09-21 2018-03-29 Nextcure, Inc. Antibodies for siglec-15 and methods of use thereof
WO2018067992A1 (en) 2016-10-07 2018-04-12 Novartis Ag Chimeric antigen receptors for the treatment of cancer
WO2018096402A1 (en) 2016-11-23 2018-05-31 Novartis Ag Methods of enhancing immune response with everolimus, dactolisib or both
WO2018100190A1 (en) 2016-12-02 2018-06-07 INSERM (Institut National de la Santé et de la Recherche Médicale) Methods and compositions for diagnosing renal cell carcinoma
WO2018119183A2 (en) 2016-12-22 2018-06-28 Amgen Inc. Kras g12c inhibitors and methods of using the same
US10098896B2 (en) 2005-03-02 2018-10-16 University Of Maryland Baltimore C-17-heteroaryl steroidal CYP17 inhibitors/antiandrogens, in vitro biological activities, pharmacokinetics and antitumor activity
WO2018201056A1 (en) 2017-04-28 2018-11-01 Novartis Ag Cells expressing a bcma-targeting chimeric antigen receptor, and combination therapy with a gamma secretase inhibitor
WO2018217651A1 (en) 2017-05-22 2018-11-29 Amgen Inc. Kras g12c inhibitors and methods of using the same
US10143748B2 (en) 2005-07-25 2018-12-04 Aptevo Research And Development Llc B-cell reduction using CD37-specific and CD20-specific binding molecules
WO2019051291A1 (en) 2017-09-08 2019-03-14 Amgen Inc. Inhibitors of kras g12c and methods of using the same
WO2019210153A1 (en) 2018-04-27 2019-10-31 Novartis Ag Car t cell therapies with enhanced efficacy
WO2019213526A1 (en) 2018-05-04 2019-11-07 Amgen Inc. Kras g12c inhibitors and methods of using the same
WO2019213282A1 (en) 2018-05-01 2019-11-07 Novartis Ag Biomarkers for evaluating car-t cells to predict clinical outcome
WO2019213516A1 (en) 2018-05-04 2019-11-07 Amgen Inc. Kras g12c inhibitors and methods of using the same
WO2019217691A1 (en) 2018-05-10 2019-11-14 Amgen Inc. Kras g12c inhibitors for the treatment of cancer
WO2019217552A1 (en) 2018-05-09 2019-11-14 Yale University Particles for spatiotemporal release of agents
WO2019217661A1 (en) 2018-05-09 2019-11-14 Yale University Compositions and systems for ex vivo cell modulation and methods of use thereof
WO2019232419A1 (en) 2018-06-01 2019-12-05 Amgen Inc. Kras g12c inhibitors and methods of using the same
WO2019241157A1 (en) 2018-06-11 2019-12-19 Amgen Inc. Kras g12c inhibitors for treating cancer
WO2019241789A1 (en) 2018-06-15 2019-12-19 Navitor Pharmaceuticals, Inc. Rapamycin analogs and uses thereof
WO2020032252A1 (en) 2018-08-10 2020-02-13 晃史 山口 Therapeutic agent for humoral immunity-related diseases in materno-fetal relationship
WO2020050890A2 (en) 2018-06-12 2020-03-12 Amgen Inc. Kras g12c inhibitors and methods of using the same
US10596165B2 (en) 2018-02-12 2020-03-24 resTORbio, Inc. Combination therapies
WO2020102730A1 (en) 2018-11-16 2020-05-22 Amgen Inc. Improved synthesis of key intermediate of kras g12c inhibitor compound
WO2020106647A2 (en) 2018-11-19 2020-05-28 Amgen Inc. Combination therapy including a krasg12c inhibitor and one or more additional pharmaceutically active agents for the treatment of cancers
WO2020106640A1 (en) 2018-11-19 2020-05-28 Amgen Inc. Kras g12c inhibitors and methods of using the same
EP3660042A1 (en) 2014-07-31 2020-06-03 Novartis AG Subset-optimized chimeric antigen receptor-containing t-cells
EP3663405A1 (en) 2013-06-11 2020-06-10 Takara Bio USA, Inc. Protein enriched microvesicles and methods of making and using the same
WO2020132651A1 (en) 2018-12-20 2020-06-25 Amgen Inc. Kif18a inhibitors
WO2020132649A1 (en) 2018-12-20 2020-06-25 Amgen Inc. Heteroaryl amides useful as kif18a inhibitors
WO2020132653A1 (en) 2018-12-20 2020-06-25 Amgen Inc. Heteroaryl amides useful as kif18a inhibitors
WO2020129348A1 (en) 2018-12-18 2020-06-25 晃史 山口 Agent for improving infertility, recurrent miscarriage, and state of pregnancy
WO2020132648A1 (en) 2018-12-20 2020-06-25 Amgen Inc. Kif18a inhibitors
WO2020180768A1 (en) 2019-03-01 2020-09-10 Revolution Medicines, Inc. Bicyclic heteroaryl compounds and uses thereof
WO2020180770A1 (en) 2019-03-01 2020-09-10 Revolution Medicines, Inc. Bicyclic heterocyclyl compounds and uses thereof
EP3712171A1 (en) 2014-08-19 2020-09-23 Novartis AG Treatment of cancer using a cd123 chimeric antigen receptor
EP3722316A1 (en) 2014-07-21 2020-10-14 Novartis AG Treatment of cancer using a cd33 chimeric antigen receptor
WO2021001743A1 (en) 2019-07-02 2021-01-07 Effector Therapeutics, Inc. Translation inhibitors and uses thereof
WO2021026101A1 (en) 2019-08-02 2021-02-11 Amgen Inc. Kif18a inhibitors
WO2021026100A1 (en) 2019-08-02 2021-02-11 Amgen Inc. Pyridine derivatives as kif18a inhibitors
WO2021026098A1 (en) 2019-08-02 2021-02-11 Amgen Inc. Kif18a inhibitors
WO2021026099A1 (en) 2019-08-02 2021-02-11 Amgen Inc. Kif18a inhibitors
GB2586427A (en) * 2019-01-22 2021-02-17 Aeovian Pharmaceuticals Inc MTORC modulators and uses thereof
US10980889B1 (en) 2018-05-01 2021-04-20 Revolution Medicines, Inc. C40-, C28-, and C-32-linked rapamycin analogs as mTOR inhibitors
WO2021081212A1 (en) 2019-10-24 2021-04-29 Amgen Inc. Pyridopyrimidine derivatives useful as kras g12c and kras g12d inhibitors in the treatment of cancer
WO2021086833A1 (en) 2019-10-28 2021-05-06 Merck Sharp & Dohme Corp. Small molecule inhibitors of kras g12c mutant
WO2021085653A1 (en) 2019-10-31 2021-05-06 Taiho Pharmaceutical Co., Ltd. 4-aminobut-2-enamide derivatives and salts thereof
WO2021091967A1 (en) 2019-11-04 2021-05-14 Revolution Medicines, Inc. Ras inhibitors
WO2021091956A1 (en) 2019-11-04 2021-05-14 Revolution Medicines, Inc. Ras inhibitors
WO2021092115A1 (en) 2019-11-08 2021-05-14 Revolution Medicines, Inc. Bicyclic heteroaryl compounds and uses thereof
WO2021091982A1 (en) 2019-11-04 2021-05-14 Revolution Medicines, Inc. Ras inhibitors
WO2021097212A1 (en) 2019-11-14 2021-05-20 Amgen Inc. Improved synthesis of kras g12c inhibitor compound
WO2021097207A1 (en) 2019-11-14 2021-05-20 Amgen Inc. Improved synthesis of kras g12c inhibitor compound
WO2021108683A1 (en) 2019-11-27 2021-06-03 Revolution Medicines, Inc. Covalent ras inhibitors and uses thereof
WO2021107160A1 (en) 2019-11-29 2021-06-03 Taiho Pharmaceutical Co., Ltd. A compound having inhibitory activity against kras g12d mutation
WO2021142026A1 (en) 2020-01-07 2021-07-15 Revolution Medicines, Inc. Shp2 inhibitor dosing and methods of treating cancer
WO2021215544A1 (en) 2020-04-24 2021-10-28 Taiho Pharmaceutical Co., Ltd. Kras g12d protein inhibitors
WO2021215545A1 (en) 2020-04-24 2021-10-28 Taiho Pharmaceutical Co., Ltd. Anticancer combination therapy with n-(1-acryloyl-azetidin-3-yl)-2-((1h-indazol-3-yl)amino)methyl)-1h-imidazole-5-carboxamide inhibitor of kras-g12c
WO2021258042A1 (en) 2020-06-19 2021-12-23 Yale University Polymeric bile acid ester nanoparticles comprising an immunomodulator agent to induce antigen-specific tolerance
WO2022014640A1 (en) 2020-07-15 2022-01-20 大鵬薬品工業株式会社 Pyrimidine compound-containing combination to be used in tumor treatment
US11236091B2 (en) 2019-05-21 2022-02-01 Amgen Inc. Solid state forms
WO2022020522A3 (en) * 2020-07-21 2022-03-03 Aeovian Pharmaceuticals, Inc. Mtorc1 modulators and uses thereof
WO2022060583A1 (en) 2020-09-03 2022-03-24 Revolution Medicines, Inc. Use of sos1 inhibitors to treat malignancies with shp2 mutations
WO2022060836A1 (en) 2020-09-15 2022-03-24 Revolution Medicines, Inc. Indole derivatives as ras inhibitors in the treatment of cancer
EP3977995A1 (en) 2014-10-28 2022-04-06 Koushi Yamaguchi Tacrolimus for ameliorating pregnancy conditions
US11357851B2 (en) 2015-11-11 2022-06-14 Novartis Ag Uses of myostatin antagonists, combinations containing them and uses thereof
US11365252B2 (en) 2016-07-20 2022-06-21 University Of Utah Research Foundation CD229 CAR T cells and methods of use thereof
WO2022140427A1 (en) 2020-12-22 2022-06-30 Qilu Regor Therapeutics Inc. Sos1 inhibitors and uses thereof
US11426404B2 (en) 2019-05-14 2022-08-30 Amgen Inc. Dosing of KRAS inhibitor for treatment of cancers
WO2022235870A1 (en) 2021-05-05 2022-11-10 Revolution Medicines, Inc. Ras inhibitors for the treatment of cancer
WO2022235864A1 (en) 2021-05-05 2022-11-10 Revolution Medicines, Inc. Ras inhibitors
WO2022235866A1 (en) 2021-05-05 2022-11-10 Revolution Medicines, Inc. Covalent ras inhibitors and uses thereof
WO2022250170A1 (en) 2021-05-28 2022-12-01 Taiho Pharmaceutical Co., Ltd. Small molecule inhibitors of kras mutated proteins
WO2023288046A1 (en) 2021-07-15 2023-01-19 President And Fellows Of Harvard College Compositions and methods relating to cells with adhered particles
US11603377B2 (en) 2020-03-27 2023-03-14 Aeovian Pharmaceuticals, Inc. MTORC1 modulators and uses thereof
WO2023060253A1 (en) 2021-10-08 2023-04-13 Revolution Medicines, Inc. Ras inhibitors
US11660329B2 (en) 2012-11-14 2023-05-30 University Of Cincinnati Materials and methods useful for treating glioblastoma
WO2023114954A1 (en) 2021-12-17 2023-06-22 Genzyme Corporation Pyrazolopyrazine compounds as shp2 inhibitors
US11685749B2 (en) 2018-05-01 2023-06-27 Revolution Medicines, Inc. C26-linked rapamycin analogs as mTOR inhibitors
EP4227307A1 (en) 2022-02-11 2023-08-16 Genzyme Corporation Pyrazolopyrazine compounds as shp2 inhibitors
WO2023172940A1 (en) 2022-03-08 2023-09-14 Revolution Medicines, Inc. Methods for treating immune refractory lung cancer
US11819476B2 (en) 2019-12-05 2023-11-21 Janssen Pharmaceutica Nv Rapamycin analogs and uses thereof
WO2023240263A1 (en) 2022-06-10 2023-12-14 Revolution Medicines, Inc. Macrocyclic ras inhibitors
US11859021B2 (en) 2021-03-19 2024-01-02 Icahn School Of Medicine At Mount Sinai Compounds for regulating trained immunity, and their methods of use
WO2024081916A1 (en) 2022-10-14 2024-04-18 Black Diamond Therapeutics, Inc. Methods of treating cancers using isoquinoline or 6-aza-quinoline derivatives

Families Citing this family (62)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
GB9221220D0 (en) * 1992-10-09 1992-11-25 Sandoz Ag Organic componds
DE69430060T2 (en) 1993-04-23 2002-11-07 Abbott Lab RAPAMYCINE ANTIBODIES WITH OPEN RING
US7279561B1 (en) * 1993-04-23 2007-10-09 Wyeth Anti-rapamycin monoclonal antibodies
KR100400620B1 (en) 1995-06-09 2004-02-18 노파르티스 아게 Rapamycin Derivatives
WO2001013957A2 (en) 1999-08-24 2001-03-01 Cellgate, Inc. Enhancing drug delivery across and into epithelial tissues using oligo arginine moieties
US6790228B2 (en) 1999-12-23 2004-09-14 Advanced Cardiovascular Systems, Inc. Coating for implantable devices and a method of forming the same
US20070032853A1 (en) * 2002-03-27 2007-02-08 Hossainy Syed F 40-O-(2-hydroxy)ethyl-rapamycin coated stent
US7807211B2 (en) 1999-09-03 2010-10-05 Advanced Cardiovascular Systems, Inc. Thermal treatment of an implantable medical device
US7300662B2 (en) * 2000-05-12 2007-11-27 Cordis Corporation Drug/drug delivery systems for the prevention and treatment of vascular disease
US20050002986A1 (en) * 2000-05-12 2005-01-06 Robert Falotico Drug/drug delivery systems for the prevention and treatment of vascular disease
US6776796B2 (en) * 2000-05-12 2004-08-17 Cordis Corportation Antiinflammatory drug and delivery device
US8236048B2 (en) 2000-05-12 2012-08-07 Cordis Corporation Drug/drug delivery systems for the prevention and treatment of vascular disease
DE60124285T3 (en) 2000-09-29 2011-03-17 Cordis Corp., Miami Lakes COATED MEDICAL EQUIPMENT
US20040018228A1 (en) * 2000-11-06 2004-01-29 Afmedica, Inc. Compositions and methods for reducing scar tissue formation
US20040241211A9 (en) * 2000-11-06 2004-12-02 Fischell Robert E. Devices and methods for reducing scar tissue formation
US6534693B2 (en) 2000-11-06 2003-03-18 Afmedica, Inc. Surgically implanted devices having reduced scar tissue formation
CA2429722A1 (en) * 2000-11-28 2002-06-06 Wyeth Expression analysis of fkbp nucleic acids and polypeptides useful in the diagnosis and treatment of prostate cancer
EP1458405A1 (en) * 2001-11-21 2004-09-22 Sucampo AG Use of fk506 and analogues for treating allergic diseases
US20040072796A1 (en) * 2002-04-18 2004-04-15 Embury Stephen H. Method and composition for preventing pain in sickle cell patients
US20040024450A1 (en) * 2002-04-24 2004-02-05 Sun Biomedical, Ltd. Drug-delivery endovascular stent and method for treating restenosis
JP4265888B2 (en) * 2002-06-12 2009-05-20 株式会社リコー Image forming apparatus
MXPA05000139A (en) 2002-07-16 2005-04-11 Biotica Tech Ltd Production of polyketides and other natural products.
US20050118344A1 (en) 2003-12-01 2005-06-02 Pacetti Stephen D. Temperature controlled crimping
US7585517B2 (en) * 2003-09-18 2009-09-08 Macusight, Inc. Transscleral delivery
US7780973B2 (en) * 2003-12-15 2010-08-24 Ethicon Endo-Surgery, Inc. Method and device for minimally invasive implantation of biomaterial
US20050142161A1 (en) * 2003-12-30 2005-06-30 Freeman Lynetta J. Collagen matrix for soft tissue augmentation
GB0417852D0 (en) 2004-08-11 2004-09-15 Biotica Tech Ltd Production of polyketides and other natural products
US7901451B2 (en) * 2004-09-24 2011-03-08 Biosensors International Group, Ltd. Drug-delivery endovascular stent and method for treating restenosis
US8021849B2 (en) * 2004-11-05 2011-09-20 Siemens Healthcare Diagnostics Inc. Methods and kits for the determination of sirolimus in a sample
US8663639B2 (en) * 2005-02-09 2014-03-04 Santen Pharmaceutical Co., Ltd. Formulations for treating ocular diseases and conditions
SI1848431T1 (en) * 2005-02-09 2016-05-31 Santen Pharmaceutical Co., Ltd. Liquid formulations for treatment of diseases or conditions
US20100061994A1 (en) * 2005-03-11 2010-03-11 Rose Mary Sheridan Medical uses of 39-desmethoxyrapamycin and analogues thereof
KR20070116868A (en) 2005-03-11 2007-12-11 바이오티카 테크놀로지 리미티드 Medical uses of 39-desmethoxyrapamycin and analogues thereof
GB0504994D0 (en) 2005-03-11 2005-04-20 Biotica Tech Ltd Novel compounds
US7189582B2 (en) * 2005-04-27 2007-03-13 Dade Behring Inc. Compositions and methods for detection of sirolimus
JP5528708B2 (en) 2006-02-09 2014-06-25 参天製薬株式会社 Stable formulations and methods for preparing and using them
US8222271B2 (en) * 2006-03-23 2012-07-17 Santen Pharmaceutical Co., Ltd. Formulations and methods for vascular permeability-related diseases or conditions
GB0609963D0 (en) * 2006-05-19 2006-06-28 Biotica Tech Ltd Novel compounds
GB0609962D0 (en) * 2006-05-19 2006-06-28 Biotica Tech Ltd Novel compounds
US8067055B2 (en) * 2006-10-20 2011-11-29 Biosensors International Group, Ltd. Drug-delivery endovascular stent and method of use
US20080097591A1 (en) 2006-10-20 2008-04-24 Biosensors International Group Drug-delivery endovascular stent and method of use
US20080103584A1 (en) * 2006-10-25 2008-05-01 Biosensors International Group Temporal Intraluminal Stent, Methods of Making and Using
US20080265343A1 (en) * 2007-04-26 2008-10-30 International Business Machines Corporation Field effect transistor with inverted t shaped gate electrode and methods for fabrication thereof
KR100930167B1 (en) * 2007-09-19 2009-12-07 삼성전기주식회사 Ultra wide angle optical system
US20120064143A1 (en) 2008-11-11 2012-03-15 The Board Of Regents Of The University Of Texas System Inhibition of mammalian target of rapamycin
CN101924315B (en) * 2009-06-16 2014-09-03 德昌电机(深圳)有限公司 Commutator and manufacturing method thereof
US9283211B1 (en) 2009-11-11 2016-03-15 Rapamycin Holdings, Llc Oral rapamycin preparation and use for stomatitis
WO2015103447A1 (en) 2013-12-31 2015-07-09 Rapamycin Holdings, Llc Oral rapamycin nanoparticle preparations and use
EP2589383A1 (en) 2011-11-06 2013-05-08 Max-Planck-Gesellschaft zur Förderung der Wissenschaften e.V. Berlin FKBP subtype-specific rapamycin analogue for use in treatment of diseases
CN103945850A (en) 2011-11-15 2014-07-23 诺华股份有限公司 Combination of a phosphoinositide 3-kinase inhibitor and a modulator of the janus kinase 2-signal transducer and activator of transcription 5 pathway
GB201122305D0 (en) 2011-12-23 2012-02-01 Biotica Tech Ltd Novel compound
EP2869818A1 (en) 2012-07-06 2015-05-13 Novartis AG Combination of a phosphoinositide 3-kinase inhibitor and an inhibitor of the il-8/cxcr interaction
EP2906214A1 (en) 2012-10-12 2015-08-19 The Board of Regents of The University of Texas System Use of mtor inhibitors to treat vascular cognitive impairment
DK2968281T3 (en) 2013-03-13 2020-11-02 Univ Texas MTOR INHIBITORS FOR PREVENTING THE GROWTH OF THE INTESTINAL POLYPH
US9580758B2 (en) 2013-11-12 2017-02-28 Luc Montagnier System and method for the detection and treatment of infection by a microbial agent associated with HIV infection
US9700544B2 (en) 2013-12-31 2017-07-11 Neal K Vail Oral rapamycin nanoparticle preparations
CA2968049A1 (en) 2014-04-16 2015-10-22 Rapamycin Holdings, Llc Oral rapamycin preparation and use for stomatitis
CN106188093B (en) * 2015-05-08 2018-06-12 上海医药工业研究院 A kind of rapamycin structure analog and preparation method thereof
JP2020507632A (en) 2017-02-10 2020-03-12 マウント タム セラピューティクス, インコーポレイテッドMount Tam Therapeutics, Inc. Rapamycin analog
WO2018213352A1 (en) 2017-05-15 2018-11-22 C.R. Bard, Inc. Medical device with drug-eluting coating and intermediate layer
EP3880266A1 (en) 2018-11-14 2021-09-22 Lutonix, Inc. Medical device with drug-eluting coating on modified device surface
CN113939324A (en) 2019-04-08 2022-01-14 巴德外周血管股份有限公司 Medical devices having drug eluting coatings on modified device surfaces

Citations (12)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5100883A (en) * 1991-04-08 1992-03-31 American Home Products Corporation Fluorinated esters of rapamycin
WO1992005179A1 (en) * 1990-09-19 1992-04-02 American Home Products Corporation Carboxylic acid esters of rapamycin
US5118677A (en) * 1991-05-20 1992-06-02 American Home Products Corporation Amide esters of rapamycin
US5118678A (en) * 1991-04-17 1992-06-02 American Home Products Corporation Carbamates of rapamycin
US5120842A (en) * 1991-04-01 1992-06-09 American Home Products Corporation Silyl ethers of rapamycin
US5151413A (en) * 1991-11-06 1992-09-29 American Home Products Corporation Rapamycin acetals as immunosuppressant and antifungal agents
US5221670A (en) * 1990-09-19 1993-06-22 American Home Products Corporation Rapamycin esters
US5258389A (en) * 1992-11-09 1993-11-02 Merck & Co., Inc. O-aryl, O-alkyl, O-alkenyl and O-alkynylrapamycin derivatives
US5262423A (en) * 1992-10-29 1993-11-16 American Home Products Corporation Rapamycin arylcarbonyl and alkoxycarbonyl carbamates as immunosuppressive and antifungal agents
WO1994009010A1 (en) * 1992-10-09 1994-04-28 Sandoz Ltd. O-alkylated rapamycin derivatives and their use, particularly as immunosuppressants
US5310901A (en) * 1993-03-05 1994-05-10 Merck & Co., Inc. O-heteroaryl, O-alkylheteroaryl, O-alkenylheteroaryl and O-alkynlheteroarylrapamycin derivatives
US5310903A (en) * 1993-03-05 1994-05-10 Merck & Co., Inc. Imidazolidyl rapamycin derivatives

Family Cites Families (5)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2881886B2 (en) * 1989-12-30 1999-04-12 ソニー株式会社 Video signal encoding method and apparatus therefor
ZA935112B (en) * 1992-07-17 1994-02-08 Smithkline Beecham Corp Rapamycin derivatives
US5256790A (en) * 1992-08-13 1993-10-26 American Home Products Corporation 27-hydroxyrapamycin and derivatives thereof
US5527907A (en) * 1993-11-19 1996-06-18 Abbott Laboratories Macrolide immunomodulators
JP4105761B2 (en) * 1993-11-19 2008-06-25 アボット・ラボラトリーズ Semi-synthetic analog immunomodulator of rapamycin (macrolide)

Patent Citations (13)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US5221670A (en) * 1990-09-19 1993-06-22 American Home Products Corporation Rapamycin esters
WO1992005179A1 (en) * 1990-09-19 1992-04-02 American Home Products Corporation Carboxylic acid esters of rapamycin
US5120842B1 (en) * 1991-04-01 1993-07-06 A Failli Amedeo
US5120842A (en) * 1991-04-01 1992-06-09 American Home Products Corporation Silyl ethers of rapamycin
US5100883A (en) * 1991-04-08 1992-03-31 American Home Products Corporation Fluorinated esters of rapamycin
US5118678A (en) * 1991-04-17 1992-06-02 American Home Products Corporation Carbamates of rapamycin
US5118677A (en) * 1991-05-20 1992-06-02 American Home Products Corporation Amide esters of rapamycin
US5151413A (en) * 1991-11-06 1992-09-29 American Home Products Corporation Rapamycin acetals as immunosuppressant and antifungal agents
WO1994009010A1 (en) * 1992-10-09 1994-04-28 Sandoz Ltd. O-alkylated rapamycin derivatives and their use, particularly as immunosuppressants
US5262423A (en) * 1992-10-29 1993-11-16 American Home Products Corporation Rapamycin arylcarbonyl and alkoxycarbonyl carbamates as immunosuppressive and antifungal agents
US5258389A (en) * 1992-11-09 1993-11-02 Merck & Co., Inc. O-aryl, O-alkyl, O-alkenyl and O-alkynylrapamycin derivatives
US5310901A (en) * 1993-03-05 1994-05-10 Merck & Co., Inc. O-heteroaryl, O-alkylheteroaryl, O-alkenylheteroaryl and O-alkynlheteroarylrapamycin derivatives
US5310903A (en) * 1993-03-05 1994-05-10 Merck & Co., Inc. Imidazolidyl rapamycin derivatives

Cited By (278)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6649595B2 (en) 1995-06-07 2003-11-18 Ariad Gene Therapeutics, Inc. Regulation of biological events using novel compounds
US6187757B1 (en) 1995-06-07 2001-02-13 Ariad Pharmaceuticals, Inc. Regulation of biological events using novel compounds
JP2009102349A (en) * 1996-03-27 2009-05-14 Novartis Ag Use of rapamycin derivative in vasculopathy and xenotransplantation
US6984635B1 (en) 1998-02-13 2006-01-10 Board Of Trustees Of The Leland Stanford Jr. University Dimerizing agents, their production and use
US8124630B2 (en) 1999-01-13 2012-02-28 Bayer Healthcare Llc ω-carboxyaryl substituted diphenyl ureas as raf kinase inhibitors
US8841330B2 (en) 1999-01-13 2014-09-23 Bayer Healthcare Llc Omega-carboxyaryl substituted diphenyl ureas as raf kinase inhibitors
US7897623B2 (en) 1999-01-13 2011-03-01 Bayer Healthcare Llc ω-carboxyl aryl substituted diphenyl ureas as p38 kinase inhibitors
US6872383B2 (en) 1999-04-30 2005-03-29 Sucampo Ag Use of macrolide compounds for the treatment of dry eye
US7063857B1 (en) 1999-04-30 2006-06-20 Sucampo Ag Use of macrolide compounds for the treatment of dry eye
US7067526B1 (en) 1999-08-24 2006-06-27 Ariad Gene Therapeutics, Inc. 28-epirapalogs
US7196192B2 (en) 1999-08-24 2007-03-27 Ariad Gene Therapeutics, Inc. 28-epirapalogs
US8853366B2 (en) 2001-01-17 2014-10-07 Emergent Product Development Seattle, Llc Binding domain-immunoglobulin fusion proteins
EP3345602A1 (en) 2001-02-19 2018-07-11 Novartis AG Rapamycin derivative for treating advanced solid tumours
AU2019222912B2 (en) * 2001-02-19 2020-09-03 Novartis Ag Cancer treatment
US8436010B2 (en) 2001-02-19 2013-05-07 Novartis Pharmaceuticals Corporation Treatment of solid tumors with rapamycin derivatives
AU2011226833B2 (en) * 2001-02-19 2014-05-22 Novartis Ag Cancer treatment
CZ303611B6 (en) * 2001-02-19 2013-01-09 Novartis Ag Pharmaceutical compositions containing rapamycin derivative and intended for treating solid tumors
EP2762140A1 (en) 2001-02-19 2014-08-06 Novartis AG Treatment of solid brain tumours with a rapamycin derivative
EP3342411A1 (en) 2001-02-19 2018-07-04 Novartis AG Rapamycin derivative for treating pancreas cancer
WO2002066019A2 (en) * 2001-02-19 2002-08-29 Novartis Ag Cancer treatment
EP2764865A2 (en) 2001-02-19 2014-08-13 Novartis AG Cancer treatment
AU2017276287B2 (en) * 2001-02-19 2019-10-17 Novartis Ag Cancer treatment
WO2002066019A3 (en) * 2001-02-19 2002-10-24 Novartis Ag Cancer treatment
EP2269603A1 (en) 2001-02-19 2011-01-05 Novartis AG Treatment of solid tumours with rapamycin derivatives
EP2269604A1 (en) 2001-02-19 2011-01-05 Novartis AG Treatment of solid tumours with rapamycin derivatives
EP3351246A1 (en) 2001-02-19 2018-07-25 Novartis AG Rapamycin derivative for the treatment of a solid tumor associated with deregulated angiogenesis
EP3406249A1 (en) 2001-02-19 2018-11-28 Novartis AG Treatment of breast tumors with a rapamycin derivative in combination with an aromatase inhibitor
AU2007201060C1 (en) * 2001-02-19 2018-01-04 Novartis Ag Cancer treatment
AU2016206379B2 (en) * 2001-02-19 2017-09-14 Novartis Ag Cancer Treatment
EP2783686A1 (en) 2001-02-19 2014-10-01 Novartis AG Combination of a rapamycin derivative and letrozole for treating breast cancer
EP2269604B1 (en) 2001-02-19 2016-07-27 Novartis AG Treatment of solid kidney tumours with a rapamycin derivative
CZ307637B6 (en) * 2001-02-19 2019-01-23 Novartis Ag 40-O- (2-Hydroxyethyl) rapamycin as the only active ingredient in the treatment
AU2007201060B2 (en) * 2001-02-19 2011-07-07 Novartis Ag Cancer treatment
US8877771B2 (en) 2001-02-19 2014-11-04 Novartis Pharmaceuticals Corporation Treatment of solid tumors with rapamycin derivatives
US8308795B2 (en) 2001-11-05 2012-11-13 Biosensors International Group, Ltd. Drug-delivery endovascular stent and method of forming the same
US8242147B2 (en) 2002-02-11 2012-08-14 Bayer Healthcare Llc Aryl ureas with angiogenisis inhibiting activity
US8618141B2 (en) 2002-02-11 2013-12-31 Bayer Healthcare Llc Aryl ureas with angiogenesis inhibiting activity
US7838541B2 (en) 2002-02-11 2010-11-23 Bayer Healthcare, Llc Aryl ureas with angiogenesis inhibiting activity
US8252046B2 (en) 2002-04-24 2012-08-28 Biosensors International Group, Ltd. Drug-delivery endovascular stent and method for treating restenosis
US8715341B2 (en) 2002-04-24 2014-05-06 Biosensors International Group, Ltd. Drug-delivery endovascular stent and method of forming the same
EP2316377A1 (en) * 2002-04-24 2011-05-04 Biosensors International Group, Ltd. Drug-Delivery Endovascular Stent And Method For Treating Restenosis
US8545550B2 (en) 2002-04-24 2013-10-01 Biosensors International Group, Ltd. Drug-delivery endovascular stent and method for treating restenosis
EP1955696A2 (en) 2002-05-16 2008-08-13 Novartis AG Use of EDG receptor binding agents in cancer
EP1944026A2 (en) 2002-05-16 2008-07-16 Novartis AG Use of EDG receptor binding agents in cancer
EP2251007A2 (en) 2002-09-24 2010-11-17 Novartis AG Sphingosine-1-phosphate (S1P) receptor agonists for use in the treatment of demyelinating diseases
EP2255798A2 (en) 2002-09-24 2010-12-01 Novartis AG Sphingosine-1-phosphate receptor agonists for use in the treatment of optic neuritis
US7345053B2 (en) 2002-12-16 2008-03-18 Nitromed, Inc. Nitrosated and nitrosylated rapamycin compounds, compositions and methods of use
EP2181704A2 (en) 2002-12-30 2010-05-05 Angiotech International Ag Drug delivery from rapid gelling polymer composition
US8796250B2 (en) 2003-05-20 2014-08-05 Bayer Healthcare Llc Diaryl ureas for diseases mediated by PDGFR
EP1852437A3 (en) * 2003-11-12 2008-03-12 Sun Biomedical, Ltd. 42-O-alkoxyalkyl rapamycin derivatives and compositions comprising same
EP1852437A2 (en) 2003-11-12 2007-11-07 Sun Biomedical, Ltd. 42-O-alkoxyalkyl rapamycin derivatives and compositions comprising same
WO2005047295A1 (en) * 2003-11-12 2005-05-26 Sun Biomedical, Ltd. 42-o-alkoxyalkyl rapamycin derivatives and compositions comprising same
US7220755B2 (en) 2003-11-12 2007-05-22 Biosensors International Group, Ltd. 42-O-alkoxyalkyl rapamycin derivatives and compositions comprising same
EP2583678A2 (en) 2004-06-24 2013-04-24 Novartis Vaccines and Diagnostics, Inc. Small molecule immunopotentiators and assays for their detection
US10098896B2 (en) 2005-03-02 2018-10-16 University Of Maryland Baltimore C-17-heteroaryl steroidal CYP17 inhibitors/antiandrogens, in vitro biological activities, pharmacokinetics and antitumor activity
EP2216019A2 (en) 2005-03-04 2010-08-11 Novartis AG Ophthalmic uses of S1P receptor modulators
EP2253320A1 (en) 2005-07-20 2010-11-24 Novartis AG Combination of a pyrimidylaminobenzamide and a mTOR kinase inhibitor
US10143748B2 (en) 2005-07-25 2018-12-04 Aptevo Research And Development Llc B-cell reduction using CD37-specific and CD20-specific binding molecules
US10307481B2 (en) 2005-07-25 2019-06-04 Aptevo Research And Development Llc CD37 immunotherapeutics and uses thereof
US9839670B2 (en) 2005-08-30 2017-12-12 University Of Miami Immunomodulating tumor necrosis factor receptor 25 (TNFR25) agonists, antagonists, and immunotoxins
US9017679B2 (en) 2005-08-30 2015-04-28 University Of Miami Immunomodulating tumor necrosis factor receptor 25 (TNFR25) agonists, antagonists, and immunotoxins
US11395846B2 (en) 2005-08-30 2022-07-26 University Of Miami Immunomodulating tumor necrosis factor receptor 25 (TNFR25) agonists, antagonists, and immunotoxins
US8541554B2 (en) 2006-07-21 2013-09-24 Abbott Laboratories Immunosuppressant drug extraction reagent for immunoassays
US7883855B2 (en) 2006-07-21 2011-02-08 Abbott Laboratories Immunosuppressant drug extraction reagent for immunoassays
US8440185B2 (en) 2006-12-26 2013-05-14 The Johns Hopkins University Compositions and methods for the treatment of immunologic disorders
US7989173B2 (en) 2006-12-27 2011-08-02 The Johns Hopkins University Detection and diagnosis of inflammatory disorders
US9134321B2 (en) 2006-12-27 2015-09-15 The Johns Hopkins University Detection and diagnosis of inflammatory disorders
US7931896B2 (en) 2006-12-27 2011-04-26 The Johns Hopkins University Compositions and methods for treating inflammation and auto-immune diseases
EP2586458A1 (en) 2006-12-27 2013-05-01 The Johns Hopkins University Compositions and methods for treating inflammation and auto-immune diseases
US7914999B2 (en) 2006-12-29 2011-03-29 Abbott Laboratories Non-denaturing lysis reagent
US8697365B2 (en) 2006-12-29 2014-04-15 Abbott Laboratories Non-denaturing lysis reagent
US8329415B2 (en) 2006-12-29 2012-12-11 Abbott Laboratories Lysis reagent for use with capture-in-solution immunoassay
US8221986B2 (en) 2006-12-29 2012-07-17 Abbott Laboratories Diagnostic test for the detection of a molecule or drug in whole blood
US8440416B2 (en) 2006-12-29 2013-05-14 Abbott Laboratories Diagnostic test for the detection of a molecule or drug in whole blood
US8129127B2 (en) 2006-12-29 2012-03-06 Abbott Laboratories Assay for immunosuppressant drugs
US8404452B2 (en) 2006-12-29 2013-03-26 Abbott Laboratories Assay for immunosuppressant drugs
US7993851B2 (en) 2006-12-29 2011-08-09 Abbott Laboratories Lysis reagent for use with capture-in-solution immunoassay
US8921642B2 (en) 2008-01-11 2014-12-30 Massachusetts Eye And Ear Infirmary Conditional-stop dimerizable caspase transgenic animals
US9101609B2 (en) 2008-04-11 2015-08-11 Emergent Product Development Seattle, Llc CD37 immunotherapeutic and combination with bifunctional chemotherapeutic thereof
EP3545953A1 (en) 2008-06-20 2019-10-02 Novartis AG Paediatric compositions for treating1 multiple sclerosis
EP3011958A1 (en) 2008-06-20 2016-04-27 Novartis AG Paediatric compositions for treating multiple sclerosis
US9359395B2 (en) 2009-02-05 2016-06-07 Tokai Pharmaceuticals, Inc. Prodrugs of steroidal CYP17 inhibitors/antiandrogens
US9499627B2 (en) 2009-08-03 2016-11-22 University Of Miami Method for in vivo expansion of T regulatory cells
US10934364B2 (en) 2009-08-03 2021-03-02 University Of Miami Method for in vivo expansion of T regulatory cells
WO2011026132A2 (en) 2009-08-31 2011-03-03 1/3Acamplimmune, Inc. Methods and compositions for the inhibition of transplant rejection
US9011853B2 (en) 2009-08-31 2015-04-21 Amplimmune, Inc. B7-H4 fusion proteins and methods of use thereof
US9005616B2 (en) 2009-08-31 2015-04-14 Amplimmune, Inc. Methods and compositions for the inhibition of transplant rejection
WO2011026122A2 (en) 2009-08-31 2011-03-03 Amplimmune, Inc. B7-h4 fusion proteins and methods of use thereof
US9957312B2 (en) 2009-08-31 2018-05-01 Medimmune, Llc B7-H4 fusion proteins and methods of use thereof
WO2011130232A1 (en) 2010-04-13 2011-10-20 Novartis Ag Combination comprising a cyclin dependent kinase 4 or cyclin dependent kinase (cdk4/6) inhibitor and an mtor inhibitor for treating cancer
WO2011128405A1 (en) 2010-04-16 2011-10-20 Novartis Ag Combination of organic compounds
WO2011134899A1 (en) 2010-04-27 2011-11-03 Roche Glycart Ag Combination therapy of an afucosylated cd20 antibody with a mtor inhibitor
WO2012112847A1 (en) 2011-02-18 2012-08-23 Novartis Pharma Ag mTOR/JAK INHIBITOR COMBINATION THERAPY
WO2012149014A1 (en) 2011-04-25 2012-11-01 OSI Pharmaceuticals, LLC Use of emt gene signatures in cancer drug discovery, diagnostics, and treatment
WO2012148846A1 (en) 2011-04-25 2012-11-01 Novartis Ag Combination of a phosphatidylinositol-3-kinase (pi3k) inhibitor and a mtor inhibitor
US10500157B2 (en) 2012-04-12 2019-12-10 Yale University Nanoparticle-mediated delivery of cytokines for maintenance of the regulatory T cell phenotype
US11173119B2 (en) 2012-04-12 2021-11-16 Yale University Nanolipogel vehicles for controlled delivery of different pharmaceutical agents
WO2013155493A1 (en) 2012-04-12 2013-10-17 Yale University Methods of treating inflammatory and autoimmune diseases and disorders
US10603276B2 (en) 2012-04-12 2020-03-31 Yale University Nanolipogel vehicles for controlled delivery of different pharmaceutical agents
US10709664B2 (en) 2012-04-12 2020-07-14 Yale University Nanolipogel comprising a polymeric matrix and a lipid shell
WO2013192367A1 (en) 2012-06-22 2013-12-27 Novartis Ag Neuroendocrine tumor treatment
US11660329B2 (en) 2012-11-14 2023-05-30 University Of Cincinnati Materials and methods useful for treating glioblastoma
WO2014100439A2 (en) 2012-12-19 2014-06-26 Amplimmune, Inc. B7-h4 specific antibodies, and compositions and methods of use thereof
USRE48599E1 (en) 2013-01-09 2021-06-22 University Of Miami Compositions comprising TLIA-Ig fusion protein for the regulation of T regulatory cells, and methods for their use
US9603925B2 (en) 2013-01-09 2017-03-28 University Of Miami Compositions comprising TL1A-Ig fusion protein for the regulation of T regulatory cells, and methods for their use
US9439912B2 (en) 2013-03-14 2016-09-13 University Of Maryland, Baltimore Androgen receptor down-regulating agents and uses thereof
US9884067B2 (en) 2013-03-14 2018-02-06 University Of Maryland, Baltimore Androgen receptor down-regulating agents and uses thereof
WO2014186798A1 (en) 2013-05-17 2014-11-20 Amplimmune, Inc. Receptors for b7-h4
EP3663405A1 (en) 2013-06-11 2020-06-10 Takara Bio USA, Inc. Protein enriched microvesicles and methods of making and using the same
US9808472B2 (en) 2013-08-12 2017-11-07 Tokai Pharmaceuticals, Inc. Biomarkers for treatment of neoplastic disorders using androgen-targeted therapies
US9387216B2 (en) 2013-08-12 2016-07-12 Tokai Pharmaceuticals, Inc. Biomarkers for treatment of neoplastic disorders using androgen-targeted therapies
WO2015073644A1 (en) 2013-11-13 2015-05-21 Novartis Ag Mtor inhibitors for enhancing the immune response
WO2015090230A1 (en) 2013-12-19 2015-06-25 Novartis Ag Human mesothelin chimeric antigen receptors and uses thereof
EP4026909A1 (en) 2013-12-19 2022-07-13 Novartis AG Human mesothelin chimeric antigen receptors and uses thereof
WO2015090229A1 (en) 2013-12-20 2015-06-25 Novartis Ag Regulatable chimeric antigen receptor
WO2015121795A1 (en) 2014-02-11 2015-08-20 Novartis Ag Pharmaceutical combinations comprising a pi3k inhibitor for the treatment of cancer
WO2015142661A1 (en) 2014-03-15 2015-09-24 Novartis Ag Regulatable chimeric antigen receptor
WO2015142675A2 (en) 2014-03-15 2015-09-24 Novartis Ag Treatment of cancer using chimeric antigen receptor
EP3811970A1 (en) 2014-03-15 2021-04-28 Novartis AG Regulatable chimeric antigen receptor
WO2015149001A1 (en) 2014-03-27 2015-10-01 The Brigham And Women's Hospital, Inc. Metabolically-activated drug conjugates to overcome resistance in cancer therapy
WO2015157252A1 (en) 2014-04-07 2015-10-15 BROGDON, Jennifer Treatment of cancer using anti-cd19 chimeric antigen receptor
EP3888674A1 (en) 2014-04-07 2021-10-06 Novartis AG Treatment of cancer using anti-cd19 chimeric antigen receptor
WO2015171723A1 (en) 2014-05-06 2015-11-12 Research Development Foundation Methods for treating insulin resistance and for sensitizing patients to glp1 agonist therapy
WO2015187541A1 (en) 2014-06-02 2015-12-10 Children's Medical Center Corporation Methods and compositions for immunomodulation
EP3722316A1 (en) 2014-07-21 2020-10-14 Novartis AG Treatment of cancer using a cd33 chimeric antigen receptor
WO2016014553A1 (en) 2014-07-21 2016-01-28 Novartis Ag Sortase synthesized chimeric antigen receptors
WO2016014530A1 (en) 2014-07-21 2016-01-28 Novartis Ag Combinations of low, immune enhancing. doses of mtor inhibitors and cars
EP3660042A1 (en) 2014-07-31 2020-06-03 Novartis AG Subset-optimized chimeric antigen receptor-containing t-cells
EP4205749A1 (en) 2014-07-31 2023-07-05 Novartis AG Subset-optimized chimeric antigen receptor-containing cells
WO2016025880A1 (en) 2014-08-14 2016-02-18 Novartis Ag Treatment of cancer using gfr alpha-4 chimeric antigen receptor
EP3712171A1 (en) 2014-08-19 2020-09-23 Novartis AG Treatment of cancer using a cd123 chimeric antigen receptor
WO2016040806A1 (en) 2014-09-11 2016-03-17 The Regents Of The University Of California mTORC1 INHIBITORS
US10117945B2 (en) 2014-09-11 2018-11-06 The Regents Of The University Of California mTORC1 inhibitors
US11452780B2 (en) 2014-09-11 2022-09-27 The Regents Of The University Of California Mtorc1 inhibitors
US10646577B2 (en) 2014-09-11 2020-05-12 The Regents Of The University Of California mTORC1 inhibitors
WO2016044605A1 (en) 2014-09-17 2016-03-24 Beatty, Gregory Targeting cytotoxic cells with chimeric receptors for adoptive immunotherapy
EP3967709A1 (en) 2014-09-17 2022-03-16 Novartis AG Targeting cytotoxic cells with chimeric receptors for adoptive immunotherapy
WO2016057705A1 (en) 2014-10-08 2016-04-14 Novartis Ag Biomarkers predictive of therapeutic responsiveness to chimeric antigen receptor therapy and uses thereof
WO2016066608A1 (en) 2014-10-28 2016-05-06 INSERM (Institut National de la Santé et de la Recherche Médicale) Methods and pharmaceutical compositions for treatment of pulmonary cell senescence and peripheral aging
EP3977995A1 (en) 2014-10-28 2022-04-06 Koushi Yamaguchi Tacrolimus for ameliorating pregnancy conditions
WO2016142508A1 (en) 2015-03-11 2016-09-15 Centre Léon-Bérard Composition for treating pancreatic neuroendocrine tumours
WO2016164580A1 (en) 2015-04-07 2016-10-13 Novartis Ag Combination of chimeric antigen receptor therapy and amino pyrimidine derivatives
EP4234685A2 (en) 2015-04-17 2023-08-30 Novartis AG Methods for improving the efficacy and expansion of chimeric antigen receptor-expressing cells
WO2016168595A1 (en) 2015-04-17 2016-10-20 Barrett David Maxwell Methods for improving the efficacy and expansion of chimeric antigen receptor-expressing cells
WO2016172583A1 (en) 2015-04-23 2016-10-27 Novartis Ag Treatment of cancer using chimeric antigen receptor and protein kinase a blocker
WO2016185443A1 (en) 2015-05-20 2016-11-24 Novartis Ag Pharmaceutical combination of everolimus with dactolisib
US10576076B2 (en) 2015-05-20 2020-03-03 Novartis Ag Pharmaceutical combination of everolimus with dactolisib
US10864170B2 (en) 2015-09-04 2020-12-15 Yale University Polymeric bile acid nanocompositions targeting the pancreas and colon
EP4257126A2 (en) 2015-09-04 2023-10-11 Yale University Polymeric bile acid nanocompositions targeting the pancreas and colon
WO2017041053A1 (en) 2015-09-04 2017-03-09 Yale University Polymeric bile acid nanocompositions targeting the pancreas and colon
US11357851B2 (en) 2015-11-11 2022-06-14 Novartis Ag Uses of myostatin antagonists, combinations containing them and uses thereof
WO2017173453A1 (en) 2016-04-01 2017-10-05 The Brigham And Women's Hospital, Inc. Stimuli-responsive nanoparticles for biomedical applications
WO2017190145A1 (en) 2016-04-29 2017-11-02 Icahn School Of Medicine At Mount Sinai Targeting the innate immune system to induce long-term tolerance and to resolve macrophage accumulation in atherosclerosis
EP4014967A1 (en) 2016-04-29 2022-06-22 Icahn School of Medicine at Mount Sinai Targeting the innate immunesystem to induce long-term tolerance and to resolve macrophage accumulation in atherosclerosis
US11365252B2 (en) 2016-07-20 2022-06-21 University Of Utah Research Foundation CD229 CAR T cells and methods of use thereof
WO2018057735A1 (en) 2016-09-21 2018-03-29 Nextcure, Inc. Antibodies for siglec-15 and methods of use thereof
WO2018067992A1 (en) 2016-10-07 2018-04-12 Novartis Ag Chimeric antigen receptors for the treatment of cancer
WO2018096402A1 (en) 2016-11-23 2018-05-31 Novartis Ag Methods of enhancing immune response with everolimus, dactolisib or both
US10993940B2 (en) 2016-11-23 2021-05-04 Novartis Ag Methods of enhancing immune response
US11045463B2 (en) 2016-11-23 2021-06-29 Novartis Ag Methods of enhancing immune response
US10441584B2 (en) 2016-11-23 2019-10-15 Novartis Ag Methods of enhancing immune response
WO2018100190A1 (en) 2016-12-02 2018-06-07 INSERM (Institut National de la Santé et de la Recherche Médicale) Methods and compositions for diagnosing renal cell carcinoma
US11285135B2 (en) 2016-12-22 2022-03-29 Amgen Inc. KRAS G12C inhibitors and methods of using the same
US10532042B2 (en) 2016-12-22 2020-01-14 Amgen Inc. KRAS G12C inhibitors and methods of using the same
EP4001269A1 (en) 2016-12-22 2022-05-25 Amgen Inc. Benzoisothiazole, isothiazolo[3,4-b]pyridine, quinazoline, phthalazine, pyrido[2,3-d]pyridazine and pyrido[2,3-d]pyrimidine derivatives as kras g12c inhibitors for treating lung, pancreatic or colorectal cancer
WO2018119183A2 (en) 2016-12-22 2018-06-28 Amgen Inc. Kras g12c inhibitors and methods of using the same
WO2018201056A1 (en) 2017-04-28 2018-11-01 Novartis Ag Cells expressing a bcma-targeting chimeric antigen receptor, and combination therapy with a gamma secretase inhibitor
WO2018217651A1 (en) 2017-05-22 2018-11-29 Amgen Inc. Kras g12c inhibitors and methods of using the same
US11905281B2 (en) 2017-05-22 2024-02-20 Amgen Inc. KRAS G12C inhibitors and methods of using the same
EP3974429A1 (en) 2017-05-22 2022-03-30 Amgen Inc. Precursors of kras g12c inhibitors
US10519146B2 (en) 2017-05-22 2019-12-31 Amgen Inc. KRAS G12C inhibitors and methods of using the same
US11306087B2 (en) 2017-09-08 2022-04-19 Amgen Inc. Inhibitors of KRAS G12C and methods of using the same
WO2019051291A1 (en) 2017-09-08 2019-03-14 Amgen Inc. Inhibitors of kras g12c and methods of using the same
US10640504B2 (en) 2017-09-08 2020-05-05 Amgen Inc. Inhibitors of KRAS G12C and methods of using the same
EP4141005A1 (en) 2017-09-08 2023-03-01 Amgen Inc. Inhibitors of kras g12c and methods of using the same
US10596165B2 (en) 2018-02-12 2020-03-24 resTORbio, Inc. Combination therapies
WO2019210153A1 (en) 2018-04-27 2019-10-31 Novartis Ag Car t cell therapies with enhanced efficacy
US11364300B2 (en) 2018-05-01 2022-06-21 Revolution Medicines, Inc. C40-, C28-, and C-32-linked rapamycin analogs as mTOR inhibitors
WO2019213282A1 (en) 2018-05-01 2019-11-07 Novartis Ag Biomarkers for evaluating car-t cells to predict clinical outcome
US11685749B2 (en) 2018-05-01 2023-06-27 Revolution Medicines, Inc. C26-linked rapamycin analogs as mTOR inhibitors
US10980889B1 (en) 2018-05-01 2021-04-20 Revolution Medicines, Inc. C40-, C28-, and C-32-linked rapamycin analogs as mTOR inhibitors
WO2019213526A1 (en) 2018-05-04 2019-11-07 Amgen Inc. Kras g12c inhibitors and methods of using the same
US11766436B2 (en) 2018-05-04 2023-09-26 Amgen Inc. KRAS G12C inhibitors and methods of using the same
US11090304B2 (en) 2018-05-04 2021-08-17 Amgen Inc. KRAS G12C inhibitors and methods of using the same
WO2019213516A1 (en) 2018-05-04 2019-11-07 Amgen Inc. Kras g12c inhibitors and methods of using the same
US11045484B2 (en) 2018-05-04 2021-06-29 Amgen Inc. KRAS G12C inhibitors and methods of using the same
WO2019217661A1 (en) 2018-05-09 2019-11-14 Yale University Compositions and systems for ex vivo cell modulation and methods of use thereof
WO2019217552A1 (en) 2018-05-09 2019-11-14 Yale University Particles for spatiotemporal release of agents
US11517628B2 (en) 2018-05-09 2022-12-06 Yale University Particles for spatiotemporal release of agents
WO2019217691A1 (en) 2018-05-10 2019-11-14 Amgen Inc. Kras g12c inhibitors for the treatment of cancer
US10988485B2 (en) 2018-05-10 2021-04-27 Amgen Inc. KRAS G12C inhibitors and methods of using the same
WO2019232419A1 (en) 2018-06-01 2019-12-05 Amgen Inc. Kras g12c inhibitors and methods of using the same
US11096939B2 (en) 2018-06-01 2021-08-24 Amgen Inc. KRAS G12C inhibitors and methods of using the same
WO2019241157A1 (en) 2018-06-11 2019-12-19 Amgen Inc. Kras g12c inhibitors for treating cancer
EP4268898A2 (en) 2018-06-11 2023-11-01 Amgen Inc. Kras g12c inhibitors for treating cancer
US11285156B2 (en) 2018-06-12 2022-03-29 Amgen Inc. Substituted piperazines as KRAS G12C inhibitors
WO2020050890A2 (en) 2018-06-12 2020-03-12 Amgen Inc. Kras g12c inhibitors and methods of using the same
EP4302827A3 (en) * 2018-06-15 2024-03-13 JANSSEN Pharmaceutica NV Rapamycin analogs and uses thereof
US11944605B2 (en) 2018-06-15 2024-04-02 Janssen Pharmaceutica Nv Rapamycin analogs and uses thereof
WO2019241789A1 (en) 2018-06-15 2019-12-19 Navitor Pharmaceuticals, Inc. Rapamycin analogs and uses thereof
US20190388401A1 (en) * 2018-06-15 2019-12-26 Navitor Pharmaceuticals, Inc. Rapamycin analogs and uses thereof
EP3813946A4 (en) * 2018-06-15 2022-06-01 Anakuria Therapeutics, Inc. Rapamycin analogs and uses thereof
US10980784B2 (en) * 2018-06-15 2021-04-20 Navitor Pharmaceuticals, Inc. Rapamycin analogs and uses thereof
WO2020032252A1 (en) 2018-08-10 2020-02-13 晃史 山口 Therapeutic agent for humoral immunity-related diseases in materno-fetal relationship
WO2020102730A1 (en) 2018-11-16 2020-05-22 Amgen Inc. Improved synthesis of key intermediate of kras g12c inhibitor compound
US11299491B2 (en) 2018-11-16 2022-04-12 Amgen Inc. Synthesis of key intermediate of KRAS G12C inhibitor compound
EP4234546A2 (en) 2018-11-16 2023-08-30 Amgen Inc. Improved synthesis of key intermediate of kras g12c inhibitor compound
US11053226B2 (en) 2018-11-19 2021-07-06 Amgen Inc. KRAS G12C inhibitors and methods of using the same
WO2020106647A2 (en) 2018-11-19 2020-05-28 Amgen Inc. Combination therapy including a krasg12c inhibitor and one or more additional pharmaceutically active agents for the treatment of cancers
US11439645B2 (en) 2018-11-19 2022-09-13 Amgen Inc. Combination therapy including a KRASG12C inhibitor and one or more additional pharmaceutically active agents for the treatment of cancers
US11918584B2 (en) 2018-11-19 2024-03-05 Amgen Inc. Combination therapy including a KRASG12C inhibitor and one or more additional pharmaceutically active agents for the treatment of cancers
WO2020106640A1 (en) 2018-11-19 2020-05-28 Amgen Inc. Kras g12c inhibitors and methods of using the same
WO2020129348A1 (en) 2018-12-18 2020-06-25 晃史 山口 Agent for improving infertility, recurrent miscarriage, and state of pregnancy
WO2020132649A1 (en) 2018-12-20 2020-06-25 Amgen Inc. Heteroaryl amides useful as kif18a inhibitors
US11236069B2 (en) 2018-12-20 2022-02-01 Amgen Inc. KIF18A inhibitors
WO2020132648A1 (en) 2018-12-20 2020-06-25 Amgen Inc. Kif18a inhibitors
WO2020132653A1 (en) 2018-12-20 2020-06-25 Amgen Inc. Heteroaryl amides useful as kif18a inhibitors
WO2020132651A1 (en) 2018-12-20 2020-06-25 Amgen Inc. Kif18a inhibitors
KR20220034025A (en) * 2019-01-22 2022-03-17 에오비안 파마슈티컬스, 인크. MTORC modulators and uses thereof
US11702429B2 (en) 2019-01-22 2023-07-18 Aeovian Pharmaceuticals, Inc. mTORC modulators and uses thereof
JP2022137237A (en) * 2019-01-22 2022-09-21 エオビアン ファーマシューティカルズ, インコーポレイテッド MTORC modulators and uses thereof
JP7288540B2 (en) 2019-01-22 2023-06-07 エオビアン ファーマシューティカルズ, インコーポレイテッド MTORC modulators and uses thereof
KR102643707B1 (en) 2019-01-22 2024-03-04 에오비안 파마슈티컬스, 인크. MTORC modulators and their uses
GB2586427B (en) * 2019-01-22 2022-02-09 Aeovian Pharmaceuticals Inc MTORC modulators and uses thereof
EP3914245A4 (en) * 2019-01-22 2022-08-24 Aeovian Pharmaceuticals, Inc. Mtorc modulators and uses thereof
US11230557B2 (en) 2019-01-22 2022-01-25 Aeovian Pharmaceuticals, Inc. mTORC modulators and uses thereof
JP7108804B2 (en) 2019-01-22 2022-07-28 エオビアン ファーマシューティカルズ, インコーポレイテッド MTORC modulators and uses thereof
US11021492B2 (en) 2019-01-22 2021-06-01 Aeovian Pharmaceuticals, Inc. mTORC modulators and uses thereof
GB2586427A (en) * 2019-01-22 2021-02-17 Aeovian Pharmaceuticals Inc MTORC modulators and uses thereof
EP4272825A3 (en) * 2019-01-22 2023-12-06 Aeovian Pharmaceuticals, Inc. Mtorc modulators and uses thereof
JP2022095907A (en) * 2019-01-22 2022-06-28 エオビアン ファーマシューティカルズ, インコーポレイテッド Mtorc modulators and uses thereof
WO2020180770A1 (en) 2019-03-01 2020-09-10 Revolution Medicines, Inc. Bicyclic heterocyclyl compounds and uses thereof
WO2020180768A1 (en) 2019-03-01 2020-09-10 Revolution Medicines, Inc. Bicyclic heteroaryl compounds and uses thereof
US11426404B2 (en) 2019-05-14 2022-08-30 Amgen Inc. Dosing of KRAS inhibitor for treatment of cancers
US11236091B2 (en) 2019-05-21 2022-02-01 Amgen Inc. Solid state forms
US11827635B2 (en) 2019-05-21 2023-11-28 Amgen Inc. Solid state forms
WO2021001743A1 (en) 2019-07-02 2021-01-07 Effector Therapeutics, Inc. Translation inhibitors and uses thereof
WO2021026101A1 (en) 2019-08-02 2021-02-11 Amgen Inc. Kif18a inhibitors
WO2021026100A1 (en) 2019-08-02 2021-02-11 Amgen Inc. Pyridine derivatives as kif18a inhibitors
WO2021026098A1 (en) 2019-08-02 2021-02-11 Amgen Inc. Kif18a inhibitors
WO2021026099A1 (en) 2019-08-02 2021-02-11 Amgen Inc. Kif18a inhibitors
WO2021081212A1 (en) 2019-10-24 2021-04-29 Amgen Inc. Pyridopyrimidine derivatives useful as kras g12c and kras g12d inhibitors in the treatment of cancer
WO2021086833A1 (en) 2019-10-28 2021-05-06 Merck Sharp & Dohme Corp. Small molecule inhibitors of kras g12c mutant
WO2021085653A1 (en) 2019-10-31 2021-05-06 Taiho Pharmaceutical Co., Ltd. 4-aminobut-2-enamide derivatives and salts thereof
WO2021091956A1 (en) 2019-11-04 2021-05-14 Revolution Medicines, Inc. Ras inhibitors
WO2021091967A1 (en) 2019-11-04 2021-05-14 Revolution Medicines, Inc. Ras inhibitors
WO2021091982A1 (en) 2019-11-04 2021-05-14 Revolution Medicines, Inc. Ras inhibitors
WO2021092115A1 (en) 2019-11-08 2021-05-14 Revolution Medicines, Inc. Bicyclic heteroaryl compounds and uses thereof
WO2021097212A1 (en) 2019-11-14 2021-05-20 Amgen Inc. Improved synthesis of kras g12c inhibitor compound
WO2021097207A1 (en) 2019-11-14 2021-05-20 Amgen Inc. Improved synthesis of kras g12c inhibitor compound
WO2021108683A1 (en) 2019-11-27 2021-06-03 Revolution Medicines, Inc. Covalent ras inhibitors and uses thereof
WO2021107160A1 (en) 2019-11-29 2021-06-03 Taiho Pharmaceutical Co., Ltd. A compound having inhibitory activity against kras g12d mutation
EP4069223A4 (en) * 2019-12-05 2023-12-20 Janssen Pharmaceutica NV Rapamycin analogs and uses thereof
US11819476B2 (en) 2019-12-05 2023-11-21 Janssen Pharmaceutica Nv Rapamycin analogs and uses thereof
WO2021142026A1 (en) 2020-01-07 2021-07-15 Revolution Medicines, Inc. Shp2 inhibitor dosing and methods of treating cancer
US11603377B2 (en) 2020-03-27 2023-03-14 Aeovian Pharmaceuticals, Inc. MTORC1 modulators and uses thereof
US11634432B2 (en) 2020-03-27 2023-04-25 Aeovian Pharmaceuticals, Inc. mTORC1 modulators and uses thereof
WO2021215544A1 (en) 2020-04-24 2021-10-28 Taiho Pharmaceutical Co., Ltd. Kras g12d protein inhibitors
WO2021215545A1 (en) 2020-04-24 2021-10-28 Taiho Pharmaceutical Co., Ltd. Anticancer combination therapy with n-(1-acryloyl-azetidin-3-yl)-2-((1h-indazol-3-yl)amino)methyl)-1h-imidazole-5-carboxamide inhibitor of kras-g12c
WO2021258042A1 (en) 2020-06-19 2021-12-23 Yale University Polymeric bile acid ester nanoparticles comprising an immunomodulator agent to induce antigen-specific tolerance
WO2022014640A1 (en) 2020-07-15 2022-01-20 大鵬薬品工業株式会社 Pyrimidine compound-containing combination to be used in tumor treatment
CN116322677A (en) * 2020-07-21 2023-06-23 艾奥维安制药公司 MTORC1 modulators and uses thereof
WO2022020522A3 (en) * 2020-07-21 2022-03-03 Aeovian Pharmaceuticals, Inc. Mtorc1 modulators and uses thereof
WO2022060583A1 (en) 2020-09-03 2022-03-24 Revolution Medicines, Inc. Use of sos1 inhibitors to treat malignancies with shp2 mutations
WO2022060836A1 (en) 2020-09-15 2022-03-24 Revolution Medicines, Inc. Indole derivatives as ras inhibitors in the treatment of cancer
WO2022140427A1 (en) 2020-12-22 2022-06-30 Qilu Regor Therapeutics Inc. Sos1 inhibitors and uses thereof
US11859021B2 (en) 2021-03-19 2024-01-02 Icahn School Of Medicine At Mount Sinai Compounds for regulating trained immunity, and their methods of use
WO2022235864A1 (en) 2021-05-05 2022-11-10 Revolution Medicines, Inc. Ras inhibitors
WO2022235870A1 (en) 2021-05-05 2022-11-10 Revolution Medicines, Inc. Ras inhibitors for the treatment of cancer
WO2022235866A1 (en) 2021-05-05 2022-11-10 Revolution Medicines, Inc. Covalent ras inhibitors and uses thereof
WO2022250170A1 (en) 2021-05-28 2022-12-01 Taiho Pharmaceutical Co., Ltd. Small molecule inhibitors of kras mutated proteins
WO2023288046A1 (en) 2021-07-15 2023-01-19 President And Fellows Of Harvard College Compositions and methods relating to cells with adhered particles
WO2023060253A1 (en) 2021-10-08 2023-04-13 Revolution Medicines, Inc. Ras inhibitors
WO2023114954A1 (en) 2021-12-17 2023-06-22 Genzyme Corporation Pyrazolopyrazine compounds as shp2 inhibitors
EP4227307A1 (en) 2022-02-11 2023-08-16 Genzyme Corporation Pyrazolopyrazine compounds as shp2 inhibitors
WO2023172940A1 (en) 2022-03-08 2023-09-14 Revolution Medicines, Inc. Methods for treating immune refractory lung cancer
WO2023240263A1 (en) 2022-06-10 2023-12-14 Revolution Medicines, Inc. Macrocyclic ras inhibitors
WO2024081916A1 (en) 2022-10-14 2024-04-18 Black Diamond Therapeutics, Inc. Methods of treating cancers using isoquinoline or 6-aza-quinoline derivatives

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